Organization Active NPI

Park & Hong, PLLC

  • Dentist
  • Seattle, WA
National Provider Identifier
1720524903
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60048922 Issued in WA
Legal business name
PARK & HONG, PLLC
Practice address
9040 Rainier Ave S
Seattle, WA 98118-5000
Phone
(206) 723-7221
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Byungjun Alex Park, D.D.S.NPI 1306091418
Title
Owner
Phone
(425) 894-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60048922 WA Primary

Addresses

Primary practice location

9040 Rainier Ave S
Seattle, WA 98118-5000

Mailing address

9040 Rainier Ave S
Seattle, WA 98118-5000
Phone (206) 723-7221

Other names 1

  • Rainier Beach Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9040 Rainier Ave S
Ste 101
Seattle, WA 98118
Phone (206) 723-7221

9040 Rainier Ave S
Seattle, WA 98118
Phone (206) 723-7221

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1720524903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981185000",
            "telephone_number": "206-723-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981185000",
            "telephone_number": "206-723-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK & HONG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BYUNGJUN",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-894-7277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60048922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier Beach Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.