Jong Bume Park, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5599 Issued in NY

Practice address

55 Highoak Dr NE
Marietta, GA 30066-4929

Phone

(770) 756-6075

NPI assigned

Jun 17, 2015

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Menders Wellness LLC

  • Acupuncturist
  • Marietta, GA
  • NPI 1710856372
  NPD Authorized official
• Menders Acupuncture PC

  • Acupuncturist
  • Flushing, NY
  • NPI 1881061448
  NPD (past) Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1922489707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHOAK DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664929",
            "telephone_number": "770-756-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHOAK DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664929",
            "telephone_number": "770-756-6075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Stilesboro Rd NW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301527759",
            "country_code": "US",
            "telephone_number": "770-756-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JONG BUME",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "5599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tali Pariser, DC
• Brandon M Paritz, MD
• Daniel Park, M.D.
• Daniel J Park, DMD
• Ji Won Park, DMD
• Jong-Beak Park, R.PH., PH.D.
• Jungsub Park, D.C.
• Michelle Park, MD
• Soomin Park
• Parkaire Consultants, Inc.

• Acupuncturist in Marietta, GA
• Providers in Marietta, GA by specialty
• Acupuncturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.