DR. SI-WOON PARK (NPI# 1770770786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770770786 |
| Entity Type | Individual |
| Full Name | DR. SI-WOON PARK |
| Credential | DDS |
| Practice Address |
8320 Old Courthouse Rd Suite 402 Vienna VA 22182-3831 |
| Practice Telephone | 7033563970 |
| Practice Fax Number | 7033563971 |
| Mailing Telephone | 7033563970 |
| Mailing Fax Number | 7033563971 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0401410858 | VA | Dental Providers |
| Street Address |
8320 OLD COURTHOUSE RD SUITE 402 |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470720 | Heidi Crayton | Psychiatry & Neurology | 8320 Old Courthouse Rd, Suite 400, Vienna, VA 22182-3831 | 2005-07-13 |
| 1861859910 | Megan Asbury Vaughan | Physician Assistant | 8320 Old Courthouse Rd, Ste 100, Vienna, VA 22182-3811 | 2016-01-20 |
| 1720496029 | Paulinder Mann | Physical Therapist | 8320 Old Courthouse Rd, Suite 410, Vienna, VA 22182-3831 | 2014-07-30 |
| 1356775209 | Kimberly Warzynski | Physical Therapist | 8320 Old Courthouse Rd, Suite 401, Vienna, VA 22182-3831 | 2013-08-28 |
| 1376975342 | Joey John Laparan | Physical Therapy Assistant | 8320 Old Courthouse Rd, Suite 401, Vienna, VA 22182-3831 | 2013-08-01 |
| 1578828505 | Tysons Gynecology and Menopause Center LLC | Obstetrics & Gynecology | 8320 Old Courthouse Rd, 400, Vienna, VA 22182-3831 | 2012-07-05 |
| 1518236587 | Kelly Klosner | Physical Therapist | 8320 Old Courthouse Rd, Ste 401, Vienna, VA 22182-3831 | 2011-12-21 |
| 1811276298 | Leanne Dunaway | Physical Therapist | 8320 Old Courthouse Rd, Suite 401, Vienna, VA 22182-3831 | 2011-08-16 |
| 1497057863 | Daniel Plummer | Physical Therapist | 8320 Old Courthouse Rd, Suite 401, Vienna, VA 22182-3831 | 2010-11-17 |
| 1285817940 | Brita H Allgyer | Physical Therapist | 8320 Old Courthouse Rd, Suite 410, Vienna, VA 22182-3831 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992147730 | Implant & Dental Art, Pllc | Dentist | 8321 Old Courthouse Rd, Suite 120, Vienna, VA 22182-3817 | 2013-07-22 |
| 1700191251 | Juanli Guo | Dentist | 8321 Old Courthouse Rd, Suite 120, Vienna, VA 22182-3817 | 2010-08-09 |
| 1598998924 | Debora Armellini | Dentist | 8219 Leesburg Pike, Suite 100, Vienna, VA 22182-2625 | 2009-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295149 | Lux Dental Center | Dentist | 43761 Parkhurst Plz Ste 132, Ashburn, VA 20147-5470 | 2018-08-17 |
| 1710362447 | Walter Emanuel Odisho | Dentist | 3040 Williams Dr Ste 201, Fairfax, VA 22031 | 2015-07-23 |
| 1417207986 | Techkouhie Hamalian | Dentist | 1911 Fort Myer Dr, Arlington, VA 22209-1607 | 2012-09-12 |
| 1790061695 | Marjan Salari | Dentist | 6960g Bradlick Shopping Ctr # G, Annandale, VA 22003-7227 | 2011-10-24 |
| 1740582832 | Eun Hye Lee | Dentist | 1861 Explorer St, Reston, VA 20190-5665 | 2010-11-23 |
| 1184944217 | Harshit A Aggarwal | Dentist | 7630 Little River Tpke Ste 115, Annandale, VA 22003-2610 | 2010-06-11 |
| 1538493275 | Juan Eduardo Alvarez | Dentist | 21287 Southolme Way, Ashburn, VA 20147-6087 | 2009-09-29 |
| 1053543835 | Thomas S Striano | Dentist | 250 S Whiting St, Suite 116, Alexandria, VA 22304-3656 | 2009-08-13 |
| 1811121114 | Dr.s Sullivan, Kaihara & Watkins | Dentist | 6845 Elm St Ste 475, Mc Lean, VA 22101-6051 | 2009-05-14 |
| 1518108935 | Brent Lee Rigby | Dentist | 129 University Blvd Ste B, Harrisonburg, VA 22801-3751 | 2009-03-14 |
| Find all providers with the same taxonomy | ||||
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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.