DR. CHRISTOPHER JIN PARK (NPI# 1013203405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013203405 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER JIN PARK |
| Credential | D.D.S. |
| Practice Address |
16330 Se 256th St Covington WA 98042-4233 |
| Practice Telephone | 2532467403 |
| Mailing Telephone | 2532467403 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60229142 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558776062 | Christopher Park | Pediatrics | Pediatric Hematology Oncology Cb#7236 170 Manning Drive, Chapel Hill, NC 27599 | 2014-06-23 |
| 1700209954 | Christopher Park | Case Manager/Care Coordinator | 18623 Gale Ave Bldg 154, City of Industry, CA 91748-1342 | 2014-01-23 |
| 1710181078 | Christopher Lane Park | Family Medicine | 11 E Jefferson St, Pontotoc, MS 38863-2807 | 2007-06-12 |
| 1902981376 | Christopher Todd Park | Chiropractor | 401 W Vandament Ave Ste 103, Yukon, OK 73099-4654 | 2006-10-26 |
| 1700863198 | Christopher William Park | Radiology | 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 | 2005-12-27 |
| 1467995985 | Christopher Park | Physical Therapist | 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 | 2016-12-01 |
| 1831560283 | Christopher Park | Social Worker | 500 W 10th St, Wilmington, DE 19801-1422 | 2015-10-12 |
| 1497885339 | Christopher A Park | Plastic Surgery | 3153 Dauphin St, Mobile, AL 36606-4061 | 2007-03-07 |
| 1710013453 | Christopher Andrew Park | Occupational Therapist | 1717 Centennial Blvd, Suite 6, Springfield, OR 97477-3378 | 2007-02-26 |
| 1386786317 | Christopher Park | Pathology | 1275 York Ave, New York, NY 10065-6007 | 2007-02-13 |
| Street Address |
16330 SE 256TH ST |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760830350 | Christine Do | Dentist | 16330 Se 256th St, Covington, WA 98042-4233 | 2016-05-25 |
| 1245612423 | Chris J. Lee, Dmd, Chris J. Park, Dds, Pllc | Clinic/Center | 16330 Se 256th St, Covington, WA 98042-4233 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124510276 | Washington Dental Corporation, PC | Dentist | 27237 172nd Ave Se Ste 105a, Covington, WA 98042-7352 | 2018-06-05 |
| 1144732223 | Cali Nicole Spell | Dentist | 79132 Highway 40, Covington, LA 70435-9329 | 2017-10-30 |
| 1346693892 | Kyle Blair | Dentist | 17121 Se 270th Pl Ste 202, Covington, WA 98042-5431 | 2016-07-20 |
| 1134570591 | Dr. Bill Gramzinski, D.m.d., P.C. | Dentist | 3204 Mill St Ne, Covington, GA 30014-2538 | 2016-06-28 |
| 1083062228 | Solomon Yakubov | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014-3001 | 2016-05-27 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1346655453 | Timothy Reid Miller | Dentist | 27081 185th Ave Se Ste 105, Covington, WA 98042-8448 | 2014-06-26 |
| 1245676568 | Magnolia Dental LLC | Dentist | 6061 Pinnacle Parkway, Covington, LA 70433 | 2013-05-14 |
| 1861738973 | Covington Family Dentistry LLC | Dentist | 4168 Baker St Ne, Covington, GA 30014-1404 | 2012-12-17 |
| 1982966537 | Charles Zachary Staples | Dentist | 6061 Pinnacle Pkwy, Covington, LA 70433-9193 | 2012-06-11 |
| Find all providers in COVINGTON | ||||
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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.