DR. JONATHON PARK (NPI# 1164727822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164727822 |
| Entity Type | Individual |
| Full Name | DR. JONATHON PARK |
| Credential | DDS |
| Practice Address |
140 N State St Belvidere IL 61008-3518 |
| Practice Telephone | 7077759812 |
| Mailing Telephone | 7077759812 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019028929 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588649289 | Jonathon Lex Park | Family Medicine | 110 10th St Se, Bandon, OR 97411-9157 | 2005-12-14 |
| Street Address |
140 N STATE ST |
| City | BELVIDERE |
| State | IL |
| Zip Code | 61008-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144404013 | Dr. James Chapko D.d.s., P.C. | Exclusive Provider Organization | 140 N State St, Belvidere, IL 61008-3518 | 2007-12-27 |
| 1912120981 | James Rudolph Chapko | Dentist | 140 N State St, Belvidere, IL 61008-3518 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322944 | Lynsie Merry | Speech-Language Pathologist | 919 E. Sixth St., Belvidere, IL 61008 | 2017-08-22 |
| 1023379773 | Dylen Adair Larsen | Technician/Technologist | 521 South Street, Suite 1, Belvidere, IL 61008 | 2012-05-30 |
| 1376665224 | Ultrasound of Belvidere LLC | Radiologic Technologist | 1006 Logan Avenue, Belvidere, IL 61008 | 2007-04-04 |
| 1992845093 | Vicki Marie Harrison | Chiropractor | 301 North State Street, Belvidere, IL 61008 | 2007-02-07 |
| 1316007859 | Drs Drake Ltd | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2006-12-12 |
| 1194898015 | Family Optical Centre Inc | Optometrist | 304 No State St, Belvidere, IL 61008 | 2006-11-16 |
| 1457373946 | Mary Simmons | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2006-07-24 |
| 1134172166 | Gabriel John Javurek | Chiropractor | 1800 Logan Ave, Belvidere, IL 61008 | 2006-05-19 |
| 1437642535 | Bailey A Bolwerk | Physical Therapist | 1731 Henry Luckow Ln, Belvidere, IL 61008 | 2018-06-13 |
| 1184079451 | Amanda L Ritter | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2016-04-25 |
| Find all providers in zip 61008 | ||||
| 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 |
|---|---|---|---|---|
| 1265740575 | Confident Smile Dental PC | Dentist | 360 Chrysler Drive, Belvidere, IL 61008-6001 | 2010-09-21 |
| 1720246515 | Farzin Yousef | Dentist | 1931 N State St, Belvidere, IL 61008-1948 | 2008-05-28 |
| 1952423402 | Mohit Joshi | Dentist | 760 Beloit Rd, Belvidere, IL 61008-1745 | 2007-04-04 |
| 1356461255 | Himanshi C Thakkar | Dentist | 121 S State St, Belvidere, IL 61008-3628 | 2007-04-02 |
| 1144363607 | Michael E Belby | Dentist | 984 Brass Castle Rd, Belvidere, NJ 07823-2752 | 2007-02-15 |
| 1316007859 | Drs Drake Ltd | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2006-12-12 |
| 1790899730 | Ronald Frederick Conder Sr. | Dentist | 163 Cadillac Court, Suite #4, Belvidere, IL 61008-1737 | 2006-08-18 |
| 1366970295 | Bb Dental Care | Dentist | 115 W Lincoln Ave, Belvidere, IL 61008-3231 | 2017-05-23 |
| 1639610678 | Mohammad Ismail Dogar | Dentist | 916 Belvidere Rd, Belvidere, IL 61008-9360 | 2017-03-09 |
| 1952666505 | Laura L Yarger | Dentist | 984 Brass Castle Rd, Belvidere, NJ 07823-2752 | 2012-07-10 |
| Find all providers in BELVIDERE | ||||
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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.