Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174913073 Individual Practitioner Female Practitioner

Dr. Ji Park , DDS

Dentist - General Practice • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. Ji Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Flushing, NY. Practice services are available at 4500 PARSONS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 Parsons Blvd

Flushing, NY 113552205

Telephone 7186705521
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
187 Specialists

Practicing in Flushing, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 057917

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Soon Shim , DDS

Dentist - General Practice

NPI 1124277256

Doctor of Dental Surgery

Dr. Belen Velastegui-Carey , DDS

Dentist - General Practice

NPI 1467808907

Doctor of Dental Surgery

Ruojun Huang

Student in an Organized Health Care Education/Training Program

NPI 1598058539
Dr. Yu Hui Jenny Weng , DDS

Student in an Organized Health Care Education/Training Program

NPI 1831482843

Doctor of Dental Surgery

Junwoo Bae

Dentist

NPI 1992189773

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2018

Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205 (Tel: 7186705521)

📍
Updated Business Mailing Address January 10, 2018

Registered at 3614 165TH ST APT 1AA, FLUSHING, NY 113582039

👤
Provider Name / Credentials Updated January 10, 2018

Recorded as JI PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Dentist (License #057917 in NY)

NPI Profile Active January 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2015

Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205 (Tel: 7186705521)

📍
Updated Business Mailing Address January 29, 2015

Registered at 3614 165TH ST APT 1AA, FLUSHING, NY 113582039

👤
Provider Name / Credentials Updated January 29, 2015

Recorded as JI PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174913073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2015
Last Update: January 10, 2018
Sole Proprietor: No

Mailing Address

3614 165th St Apt 1aa

Flushing, NY 113582039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.