Active NPI
Claire Cho Park, DDS
- Pediatric Dentistry
- Danvers, MA
National Provider Identifier
1932765237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN1858270
- Practice address
- 6 State Rd # 101
Danvers, MA 01923-2567 - Phone
- (978) 777-3744
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN1858270 | MA | Primary |
Addresses
Primary practice location
6 State Rd # 101
Danvers, MA 01923-2567
Mailing address
45 Stuart St Apt 2113
Boston, MA 02116-4768
Other practice location 1
209 Harvard St Fl 2
Brookline, MA 02446-5071
Phone (617) 731-5437
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 |
|---|---|---|---|
| DN1858270 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1932765237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 STUART ST APT 2113",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 STATE RD # 101",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232567",
"telephone_number": "978-777-3744"
}
],
"practiceLocations": [
{
"address_1": "209 Harvard St Fl 2",
"address_purpose": "LOCATION",
"city": "Brookline",
"state": "MA",
"postal_code": "024465071",
"country_code": "US",
"telephone_number": "617-731-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "CLAIRE",
"middle_name": "CHO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN1858270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.