JOOROK PARK (NPI# 1518117506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518117506 |
| Entity Type | Individual |
| Full Name | JOOROK PARK |
| Credential | D.M.D., M.S.D |
| Practice Address |
155 5th Street Department of Orthodontics San Francisco CA 94103 |
| Mailing Address |
301 Bryant St Apt 202 San Francisco CA 94107-4170 |
| Practice Telephone | 9098098715 |
| Mailing Telephone | 9098098715 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
57697 | CA | Dental Providers |
| Street Address |
155 5TH STREET DEPARTMENT OF ORTHODONTICS |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839297 | Miriam Kinsler Robins | Dentist | 155 5th Street, San Francisco, CA 94103 | 2005-05-23 |
| 1235688045 | Preshus Joy Frago Magdangal | Dentist | 155 5th Street, San Francisco, CA 94103-2919 | 2016-09-22 |
| 1497944060 | Heesoo Oh | Dentist | 155 5th Street, Suite 3e, San Francisco, CA 94103-2919 | 2007-10-19 |
| 1558401257 | William Parker Lundergan | Dentist | 155 5th Street, San Francisco, CA 94103 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180331 | Siyouneh Novshadian | Dentist | 999 Sutter St # 11, San Francisco, CA 94109-6023 | 2019-12-09 |
| 1881189736 | Allan Yuanshan Wang | Dentist | 2480 Mission St Ste 323-324, San Francisco, CA 94110-2468 | 2018-06-24 |
| 1356842637 | Alice Goodwin | Dentist | 1825 4th St # 5b, San Francisco, CA 94143-2350 | 2018-02-22 |
| 1912456286 | Melissa Chin | Dentist | 2000 Van Ness Ave Ste 202, San Francisco, CA 94109-3021 | 2016-09-28 |
| 1144673450 | Stephan Suksong Yoon | Dentist | 1373 17th Ave, San Francisco, CA 94122-1912 | 2016-07-21 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1598156788 | Van H Tran | Dentist | 690 33rd Ave, Apt #204, San Francisco, CA 94121-2760 | 2015-02-10 |
| 1548679319 | Matthew Cozin | Dentist | 1026 Noriega St, San Francisco, CA 94122-4514 | 2014-08-06 |
| 1912250176 | Kjeld Aamodt | Dentist | 999 Sutter Street, Suite 207, San Francisco, CA 94109 | 2012-10-24 |
| 1639429939 | Emerald Nguyen | Dentist | 707 Parnassus Ave # D-3030, San Francisco, CA 94143-2210 | 2012-09-13 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
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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.