JOHN WOONGJOON PARK (NPI# 1265760474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265760474 |
| Entity Type | Individual |
| Full Name | JOHN WOONGJOON PARK |
| Credential | DMD |
| Practice Address |
3866 S 74th St Ste 200 Tacoma WA 98409-9908 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Enumeration Date | 2009-11-28 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
D-4283-PE | ID | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00011114 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3773-c Martin Way, Olympia, WA 98506 | 3604563638 | |
| 4550 3rd Ave Se, Lacey, WA 985031033 | 8554336825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718437 | John Park | Student in an Organized Health Care Education/Training Program | 8829 Hawthorne Ct, Ellicott City, MD 21043-3317 | 2016-05-19 |
| 1093134488 | John J. Park | Dentist | 5805 Silver Hill Rd Ste G, District Heights, MD 20747-1171 | 2014-04-14 |
| 1811265697 | John Park | Chiropractor | 2600 Walnut Ave Ste F, Tustin, CA 92780-7032 | 2011-12-07 |
| 1467759324 | John Park | Chiropractor | 256 N Sam Houston Pkwy E, Houston, TX 77060-2008 | 2011-02-11 |
| 1215168109 | John Ho Park | Radiology | 3901 Rainbow Blvd # Ms 4033, University of Kansas Medical Center, Kansas City, KS 66103-2937 | 2009-07-27 |
| 1063605988 | John Park | Case Manager/Care Coordinator | 600 Union Ave Apt B, Santa Maria, CA 93455-5327 | 2007-08-23 |
| 1144320292 | John Wonil Park | Anesthesiology | 7811 Courtney Manor Ln, Katy, TX 77494-6575 | 2006-09-25 |
| 1972538221 | John Park | Acupuncturist | 3815 1/2 Ocean View Blvd, Montrose, CA 91020-2125 | 2006-07-12 |
| 1205862075 | John Johghyun Park | Anesthesiology | 310 Egg Harbor Rd, Sewell, NJ 08080-1854 | 2006-06-24 |
| 1730181454 | John J Park | Dentist | 1079 Chambers St, Eugene, OR 97402-3706 | 2005-08-12 |
| Street Address |
3866 S 74TH ST STE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518051028 | Anthony S Nguyen | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2006-10-02 |
| 1760033955 | Kim-quy Nguyen | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409 | 2019-09-27 |
| 1871155267 | Anthony Ho | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2019-07-05 |
| 1174001697 | Madisyn Kamele Harding | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2018-08-06 |
| 1417446253 | Nicole Marcella Ters Shearer | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2018-05-08 |
| 1336669399 | Sophie Christine Prellwitz | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2017-06-21 |
| 1851784847 | Tim Hung | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2015-03-14 |
| 1689009060 | Crystal Vargas | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2013-09-04 |
| 1952743403 | Jordan M Buhr | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2013-07-25 |
| 1720312804 | Kendal Allman-bailey | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2009-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043430580 | Ronald E Harmon | Dentist | 2302 S Union Ave Ste C22, Tacoma, WA 98405-1334 | 2007-04-26 |
| 1659492718 | Minou Karbakhsch | Dentist | 2302 So. Union Ave., Suite C-22, Tacoma, WA 98405 | 2007-04-03 |
| 1801916515 | Roy Stuart Schwartz | Dentist | 1901 S Union Ave Ste B4010, Tacoma, WA 98405-1804 | 2007-03-29 |
| 1265567184 | David P Mathews Dds Ps | Dentist | 4050 S 19th St Ste 101, Tacoma, WA 98405 | 2007-02-22 |
| 1962853655 | Michitsuna Katafuchi | Dentist | 2302 S Union Ave Ste C27, Tacoma, WA 98405 | 2016-06-24 |
| 1316374788 | Arzu Korkmaz Bayir | Dentist | 4545 S Union Ave Ste 100, Tacoma, WA 98409-4532 | 2013-10-01 |
| 1053581546 | David P Mathews | Dentist | 4050 S 19th St, #101, Tacoma, WA 98405 | 2008-03-11 |
| 1053531772 | Steven D Bradway | Dentist | 2302 S Union Ave, C21, Tacoma, WA 98405-1300 | 2007-04-26 |
| 1528288008 | Ronald E. Harmon, D.d.s., P.s. | Dentist | 2302 S Union Ave Ste C22, Tacoma, WA 98405-1334 | 2007-04-26 |
| 1912039348 | Silvia La Rosa | Dentist | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 | 2007-03-12 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.