JIEUN PARK (NPI# 1427424563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427424563 |
| Entity Type | Individual |
| Full Name | JIEUN PARK |
| Practice Address |
4201 Jewetta Ave. A5 Bakersfield CA 93312 |
| Mailing Address |
4201 Jewetta Ave Apt A5 Bakersfield CA 93312-5473 |
| Practice Telephone | 4693280251 |
| Mailing Telephone | 4693280251 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 64941 | CA | Dental Providers |
| Street Address |
4201 JEWETTA AVE. A5 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574225 | Arielle San Antonio | Behavior Technician | 8302 Expresso Drive, Suite 100, Bakersfield, CA 93312 | 2019-08-22 |
| 1295391258 | Sierra Sandra-faye Myers-caldarella | Behavioral Analyst | 8302 Expresso Dr., Suite 100, Bakersfield, CA 93312 | 2019-05-15 |
| 1396286670 | Kern Medical | General Acute Care Hospital | 12716 Sable Point Drive, Bakersfield, CA 93312 | 2017-03-20 |
| 1629511886 | Prime Pulmonary & Sleep Medicine Center, Inc | Clinic/Center | 8305 Brimhall Rd. #1601, Bakersfield, CA 93312 | 2016-11-21 |
| 1710366083 | Monique Cleveland | Counselor | 9830 Brimhall Rd Unit 100, Bakersfield, CA 93312 | 2015-05-20 |
| 1063800985 | Global Non Medical Transportatin,llc | Non-emergency Medical Transport (VAN) | 5204 Sand Castle Ct, Bakersfield, CA 93312 | 2014-12-30 |
| 1508270083 | Joe Y Vuong | Pharmacist | 339 E Pine St ., Lodi, CA 93312 | 2014-06-12 |
| 1992054092 | H. Norman Wright | Counselor | 12200 April Ann Ave, Bakersfield, CA 93312 | 2012-09-05 |
| 1154682987 | Bakersfield Community Hospice, Inc. | Home Health | 3400 Calloway Drive, Suite #100, Bakersfield, CA 93312 | 2012-06-07 |
| 1245515154 | Joy M Garcia | Licensed Vocational Nurse | 12814 Montbatten Pl, Bakersfield, CA 93312 | 2011-10-12 |
| Find all providers in zip 93312 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026888 | Dominic Gordon Carlson | Dentist | 1851 Oak St Ste A, Bakersfield, CA 93301-3005 | 2020-08-31 |
| 1295353654 | Karantej Singh Kohli | Dentist | 8200 Stockdale Hwy Ste M9, Bakersfield, CA 93311-1029 | 2020-07-10 |
| 1154978013 | Bl Le Bui | Dentist | 3015 Calloway Dr Unit 4, Bakersfield, CA 93312-2658 | 2019-08-24 |
| 1750851002 | Michael Berry | Dentist | 500 Old River Rd Ste 255, Bakersfield, CA 93311-9509 | 2018-11-29 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1407380207 | Nirup Reddy and Bortay Dehnadi D.d.s, Inc. | Dentist | 1507 Panama Ln Ste 102, Bakersfield, CA 93307-5682 | 2017-04-18 |
| 1134505498 | Arbi Ismailyan | Dentist | 3612 Coffee Rd Ste A, Bakersfield, CA 93308-5084 | 2015-08-09 |
| 1790179703 | Marvizi Dental Group | Dentist | 3720 Gosford Rd, Suite C, Bakersfield, CA 93309-7695 | 2015-03-27 |
| 1689083933 | Eric Dugum | Dentist | 6101 Sky Ranch Ave, Bakersfield, CA 93306-2452 | 2014-08-11 |
| 1588078273 | P. Hiram Rodriguez, Dds, A Professional Corporation | Dentist | 600 Coffee Rd Ste Q, Bakersfield, CA 93309-1264 | 2014-06-20 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93312 |
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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.