Betty J Park, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M0213 Issued in TX

Practice address

7777 Forest LN
Suite C-755
Dallas, TX 75230-2584

Phone

(972) 566-2600

Fax

(972) 566-2121

NPI assigned

Aug 17, 2006

Last updated

Apr 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

73.59

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGDBAA

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.

• Dermatology Physicians of Dallas, P.a.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1801909346
  Medicare reassignment NPD Authorized official
• Dermatology Physicians of Denton, P.a.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1518266709
  NPD (past) Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1851404362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302584",
            "telephone_number": "972-566-2600",
            "fax_number": "972-566-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302584",
            "telephone_number": "972-566-2600",
            "fax_number": "972-566-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "BETTY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M0213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Infusioncare, LP
• Park Lane Allergy and Asthma Center, PA
• Park Lane Medical Group P.a.
• Park Lane Surgery Center
• Auh Whan Park, M.D.
• Boram Kim Park, M.D.
• Byung Joo Park
• Byung Ryang Park, MD
• Caroline Park, M.D.
• Charisse Park

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.