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Active NPI 1194987792 Individual Practitioner Male Practitioner

Dr. Jongbae Jay Park , KMD, PhD, LAC

Acupuncturist • Durham, NC

Professional Overview & Biography Verified Profile Summary

Dr. Jongbae Park, KMD, PhD, LAC is a registered healthcare professional specializing in Acupuncturist in Durham, NC. Practice services are available at 1910 SEDWICK RD STE 400A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1910 Sedwick Rd Ste 400a

Durham, NC 277139428

Telephone 9198136636

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Durham, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
31 Specialists

Practicing in Durham, NC (497 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

CMS Verified: 2020-10-09
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License NC 490

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Secondary Practice Locations

4822 Six Forks Rd, Suite 202

Raleigh, NC 276095269

Phone: 9197249985

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 09, 2020

Registered at 1910 SEDWICK RD STE 400A, DURHAM, NC 277139428 (Tel: 9198136636)

📍
Updated Business Mailing Address October 09, 2020

Registered at 1910 SEDWICK RD STE 400A, DURHAM, NC 277139428 (Tel: 9198136636)

NPI Profile Active May 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2012

Registered at 4822 SIX FORKS RD, SUITE 202, RALEIGH, NC 276095269 (Tel: 9197249985)

📍
Updated Business Mailing Address May 17, 2012

Registered at 8408 INVERNESS WAY, CHAPEL HILL, NC 275167724 (Tel: 9199426969)

👤
Provider Name / Credentials Updated May 17, 2012

Recorded as JONGBAE PARK, KMD, PHD, L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2012

Acupuncturist (License #490 in NC)

🟢
Initial NPI Registration & Enumeration June 26, 2008

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: 1194987792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2008
Last Update: October 09, 2020
Sole Proprietor: Yes

Mailing Address

1910 Sedwick Rd Ste 400a

Durham, NC 277139428

Phone: 9198136636

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.