DR. JAMIE H PARK (NPI# 1578570040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578570040 |
| Entity Type | Individual |
| Full Name | DR. JAMIE H PARK |
| Credential | D.D.S. |
| Practice Address |
10680 Main St Suite 150 Fairfax VA 22030-3810 |
| Practice Telephone | 7033854569 |
| Practice Fax Number | 8667639957 |
| Mailing Telephone | 7033854569 |
| Mailing Fax Number | 8667639957 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401410033 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502035 | Jamie Y Park | Dentist | 8622 W Golf Rd, Niles, IL 60714-5600 | 2005-10-20 |
| 1033635180 | Jamie Lee Park | Pharmacist | 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 | 2017-08-21 |
| 1215472774 | Jamie Park | Pharmacist | 3900 W 3rd St, Los Angeles, CA 90020-2675 | 2016-12-19 |
| 1003290404 | Jamie L Park | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2015-07-15 |
| 1477873107 | Jamie Park | Registered Nurse | 200 Grand Ave Ste 203, Englewood, NJ 07631-4363 | 2010-06-04 |
| 1033445663 | Jamie Park | Physician Assistant | 2500 Belle Chasse Highway, Gretna, LA 70056-7127 | 2009-11-02 |
| 1194818401 | Jamie Joseph Park | Physical Therapist | 10 Crossroads Dr, Suite 208, Owings Mills, MD 21117-5458 | 2006-10-02 |
| Street Address |
10680 MAIN ST SUITE 150 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833910 | Soo Woong Park | Internal Medicine | 10680 Main St, Ste 130, Fairfax, VA 22030-3811 | 2005-07-07 |
| 1043767874 | Kelly Gallo | Nurse Practitioner | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2016-09-09 |
| 1801202536 | Care Advantage Inc | Home Health | 10680 Main St, Fairfax, VA 22030-3810 | 2014-07-02 |
| 1467690743 | T & J Chiropractic Inc | Acupuncturist | 10680 Main St, Suite 275, Fairfax, VA 22030-3810 | 2009-01-26 |
| 1619075330 | Jong Hee Cho | Chiropractor | 10680 Main St, Suite 275, Fairfax, VA 22030-3810 | 2006-09-20 |
| 1821054933 | James Patrick Kacedan | Obstetrics & Gynecology | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2006-04-26 |
| 1407824881 | Al-juburi Urology, Pllc | Specialist | 10680 Main St, Suite 100, Fairfax, VA 22030-3810 | 2006-03-10 |
| 1396729372 | Amer Z Al-juburi | Specialist | 10680 Main St, Suite 100, Fairfax, VA 22030-3810 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1194367623 | Ruhee Jaffer | Dentist | 11213 Lee Hwy Ste A, Fairfax, VA 22030-5698 | 2019-10-16 |
| 1093367310 | Gina Genevia Askander | Dentist | 2810 Old Lee Hwy Ste 200a, Fairfax, VA 22031-4376 | 2019-07-16 |
| 1609436989 | Hanwool Kim | Dentist | 8303 Arlington Blvd Ste 104, Fairfax, VA 22031-2903 | 2019-06-18 |
| 1942776182 | Sapphire Dental Pllc | Dentist | 8622 Lee Hwy, Fairfax, VA 22031-2173 | 2018-10-15 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1710496294 | Fairfax Dentistry, Pllc | Dentist | 11351 Random Hills Rd Ste 102, Fairfax, VA 22030-6081 | 2017-09-27 |
| 1558886580 | Marc Dh Eun | Dentist | 4511 Plateau Dr, Fairfax, VA 22030-6281 | 2017-08-10 |
| 1639603459 | Kouros Hedayati, Dds, Plc | Dentist | 3545 Chain Bridge Rd Ste 5, Fairfax, VA 22030-2708 | 2017-04-18 |
| Find all providers in FAIRFAX | ||||
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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.