Active NPI
Jun Young Park, DDS
- Dentist
- Reading, MA
National Provider Identifier
1700559606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859348
- Practice address
- 161 Ash St Ste B
Reading, MA 01867-3115 - Phone
- (781) 944-6761
- Fax
- (781) 942-1788
- NPI assigned
- Jul 27, 2021
- Last updated
- May 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859348 | MA | Primary |
Addresses
Primary practice location
161 Ash St Ste B
Reading, MA 01867-3115
Mailing address
161 Ash St Ste B
Reading, MA 01867-3115
Phone (781) 944-6761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859348 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Dental Associates PC | Dentist | Current | Accepting new patients |
| Associates in Family Dentistry | Dentist | Current | Accepting new patients |
Locations
161 Ash St
Ste B
Reading, MA 01867
Phone (781) 944-6761
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Reading, MA
- NPI 1902000706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1700559606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 ASH ST STE B",
"city": "READING",
"state": "MA",
"postal_code": "018673115",
"telephone_number": "781-944-6761",
"fax_number": "781-942-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 ASH ST STE B",
"city": "READING",
"state": "MA",
"postal_code": "018673115",
"telephone_number": "781-944-6761",
"fax_number": "781-942-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JUN YOUNG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-27",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.