CHAN MIN PARK (NPI# 1831505098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831505098 |
| Entity Type | Individual |
| Full Name | CHAN MIN PARK |
| Credential | DDS |
| Practice Address |
930 E Expressway 83 Mcallen TX 78503 |
| Mailing Address |
3303 Los Indios Pkwy Mission TX 78572-7584 |
| Practice Telephone | 9568430177 |
| Practice Fax Number | 9568430179 |
| Mailing Telephone | 7183090944 |
| Mailing Fax Number | 9568430179 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
32058 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DD4140 | NM | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2050 E Algonquin Rd, Schaumburg, IL 601734144 | 8477011457 |
| Street Address |
930 E EXPRESSWAY 83 |
| City | MCALLEN |
| State | TX |
| Zip Code | 78503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479437 | Rocelle Pauline Marie Gadia | Dentist | 930 E Expressway 83, Mcallen, TX 78503-1613 | 2020-08-29 |
| 1437666807 | Dental Park of Mcallen1, Pllc | Dentist | 930 E Expressway 83, Mcallen, TX 78503-1613 | 2018-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275142622 | Wound Care Institute of Texas, Pllc | Clinic/Center | 1401 E Ridge Rd Ste C, Mcallen, TX 78503 | 2020-07-30 |
| 1699399667 | Maryann Flores Zurrica | Audiologist | 2101 S. Cynthia, Plex A, Mcallen, TX 78503 | 2020-06-04 |
| 1588209720 | Yadira A. Lowery | Nurse Practitioner | 301 W Espressway 83, Mcallen, TX 78503 | 2019-11-12 |
| 1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
| 1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
| 1912482167 | Premier Hospitalists, Pllc | Hospitalist | 1601 W. Trenton Rd Suite L, Mcallen, TX 78503 | 2018-10-03 |
| 1629557707 | Maritza Venegas | Specialist/Technologist | 2904 S Jackson Rd, Mcallen, TX 78503 | 2018-08-09 |
| 1659868958 | Ronald Regala Cortez | Nurse Practitioner | 110 E. Savannah Ave., Bldg B Ste 203, Mcallen, TX 78503 | 2018-04-23 |
| 1679074983 | Mcallen Family Dentistry Pllc | Dentist | 4229 W Expressway 83, Ste 10, Mcallen, TX 78503 | 2018-02-22 |
| 1528573169 | Librado Omar Cavazos | Nurse Practitioner | 110 E Savannah Ave # 203, Mcallen, TX 78503 | 2017-12-05 |
| Find all providers in zip 78503 | ||||
| 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 |
|---|---|---|---|---|
| 1699250902 | M&s Dental, Pllc | Dentist | 1100 S Jackson Rd Ste 1, Mcallen, TX 78503-1636 | 2018-10-02 |
| 1699260190 | Lauro Tijerina | Dentist | 4121 N 22nd St, Mcallen, TX 78504-4141 | 2018-06-27 |
| 1184146169 | Jose Ned Meza | Dentist | 1632 N 10th St # A, Mcallen, TX 78501-4180 | 2017-07-12 |
| 1417486689 | Brock Hall | Dentist | 2708 W Nolana Ave Ste 120, Mcallen, TX 78504-4181 | 2017-06-09 |
| 1538690649 | La Petite Dent Corp. | Dentist | 4113 N 22nd St, Mcallen, TX 78504-4141 | 2017-03-22 |
| 1386193373 | Maxim Mossman | Dentist | 3301 N K Ctr Apt C202, Mcallen, TX 78501-1536 | 2016-10-02 |
| 1629435763 | Sofistica Dental Pllc | Dentist | 1309 E Nolana Ave, Suite C, Mcallen, TX 78504-6189 | 2016-01-20 |
| 1750774121 | Nolana Family Dental, Pa | Dentist | 801 E Nolana Ave Ste 21, Mcallen, TX 78504-6106 | 2015-03-10 |
| 1457767618 | Young Sil Jo | Dentist | 3300 N Mccoll Rd Ste M, Mcallen, TX 78501 | 2014-07-09 |
| 1043563802 | Nolana Smiles, Pllc | Dentist | 2708 W Nolana Ave, Suite 120, Mcallen, TX 78504-4180 | 2012-10-17 |
| Find all providers in MCALLEN | ||||
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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.