DR. DONG-RAE PARK (NPI# 1306900691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306900691 |
| Entity Type | Individual |
| Full Name | DR. DONG-RAE PARK |
| Credential | O.M.D., LIC. ACUPUNC |
| Practice Address |
11661 Preston Rd Suite 170 Dallas TX 75230-2745 |
| Practice Telephone | 2146913210 |
| Practice Fax Number | 2147396262 |
| Mailing Telephone | 2146913210 |
| Mailing Fax Number | 2147396262 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC00184 | TX | Other Service Providers |
| Street Address |
11661 PRESTON RD SUITE 170 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760479760 | Southwest Sports & Spine, LLP | Physical Therapist | 11661 Preston Rd, Suite 173, Dallas, TX 75230-2745 | 2005-10-04 |
| 1134768443 | Andria Wyatt | Behavioral Analyst | 11661 Preston Rd, Dallas, TX 75230-2745 | 2020-01-03 |
| 1679013494 | Cvs Aoc Services, L.L.C. | Audiologist | 11661 Preston Rd, Suite 218, Dallas, TX 75230-2745 | 2017-02-27 |
| 1851833248 | Frances Jameson | Nurse Practitioner | 11661 Preston Rd, Ste 218, Dallas, TX 75230-2745 | 2016-11-16 |
| 1992159677 | Natalie Crain | Physical Therapist | 11661 Preston Rd, Suite 173, Dallas, TX 75230-2745 | 2016-04-19 |
| 1447652094 | Louise Wolgat Polanco | Physical Therapist | 11661 Preston Rd, 173, Dallas, TX 75230-2745 | 2014-09-25 |
| 1275883910 | Acupuncture Center of Dallas Inc | Acupuncturist | 11661 Preston Rd, #170, Dallas, TX 75230-7012 | 2012-09-10 |
| 1891928891 | Diana Mendoza | Physician Assistant | 11661 Preston Rd, Suite 218, Dallas, TX 75230-2745 | 2009-08-25 |
| 1609010198 | Wholistic Herbs Inc. | Acupuncturist | 11661 Preston Rd, 170, Dallas, TX 75230-2745 | 2009-04-28 |
| 1083853832 | Preston Forest Family Clinic, P.a. | Family Medicine | 11661 Preston Rd, Suite 124, Dallas, TX 75230-2745 | 2009-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104376045 | Emily Guevara | Acupuncturist | 5510 Abrams Rd Ste 103, Dallas, TX 75214-2099 | 2016-10-04 |
| 1083091565 | Zen Orthopedics, Pllc | Acupuncturist | 2901 Cityplace West Blvd, Suite 617, Dallas, TX 75204-0300 | 2015-05-04 |
| 1891135638 | Ellett Acupuncture Pllc | Acupuncturist | 10252 E Northwest Hwy, Dallas, TX 75238-4408 | 2013-06-25 |
| 1215244355 | Michele Zoranda Love | Acupuncturist | 5560 W Lovers Ln, Suite 250, Dallas, TX 75209-4200 | 2010-09-10 |
| 1053642470 | David Brochstein | Acupuncturist | 12850 Spurling Rd, Suite 135, Dallas, TX 75230-1281 | 2010-01-25 |
| 1366686867 | Suk Joo Oh | Acupuncturist | 6200 Lbj Fwy Ste 185, Dallas, TX 75240-6565 | 2009-04-28 |
| 1821230327 | Jennifer Ann Walz | Acupuncturist | 11340 Earlywood Dr, Dallas, TX 75218-1320 | 2009-03-30 |
| 1285873133 | Coleman Mcmurphy | Acupuncturist | 6023 Morningside Ave, Dallas, TX 75206-5923 | 2009-02-17 |
| 1376797753 | Il Woo Lee | Acupuncturist | 2257 Royal Ln, Suite 100, Dallas, TX 75229-7819 | 2008-11-11 |
| 1700035300 | Bunzo Takamatsu | Acupuncturist | 12700 Preston Rd Ste 255, Dallas, TX 75230-1877 | 2008-09-18 |
| Find all providers in DALLAS | ||||
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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.