TAE H PARK (NPI# 1790870996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790870996 |
| Entity Type | Individual |
| Full Name | TAE H PARK |
| Other Name | ANDY TAE H PARK |
| Credential | DDS |
| Practice Address |
1875 E Alluvial Ave Suite 102 Fresno CA 93720-3856 |
| Practice Telephone | 5593250700 |
| Practice Fax Number | 5592400907 |
| Mailing Telephone | 5593250700 |
| Mailing Fax Number | 5592400907 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48659 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710273156 | Tae Sook Park | Acupuncturist | 903 S. Crenshaw Blvd, 302, Los Angeles, CA 90019 | 2011-06-23 |
| 1336230259 | Tae K Park | Internal Medicine | 724 8th Ave, Brooklyn, NY 11215-4204 | 2006-09-27 |
| 1376560805 | Tae Sung Park | Neurological Surgery | 1 Childrens Pl Fl 1, 1st Fl, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1346297660 | Tae J. Park | Internal Medicine | 512 W Rosedale St, Fort Worth, TX 76104-4619 | 2006-05-30 |
| 1538133020 | Tae Won Park | Psychiatry & Neurology | 1547 S Wayne Rd, Westland, MI 48186 | 2006-02-14 |
| 1275015364 | Tae Park | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2018-09-05 |
| 1669751772 | Tae E Park | Pharmacist | 230 Park Ave, M-sp1-01, Florham Park, NJ 07901 | 2011-08-05 |
| 1093940249 | Tae Keun Park | Emergency Medicine | 300 Community Dr, Department of Emergency Medicine, Manhasset, NY 11030-3816 | 2009-05-18 |
| 1043308984 | Tae Park | Pharmacist | 1450 Chapel St, Pharmacy Department, New Haven, CT 06511-4405 | 2006-10-10 |
| 1932141942 | Tae Park | Radiology | University Hospital L2, Stony Brook, NY 11794-0001 | 2006-06-12 |
| Street Address |
1875 E ALLUVIAL AVE SUITE 102 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715711 | Jesse Rosete | Dentist | 7125 N Chestnut Ave Ste 107, Fresno, CA 93720-0358 | 2020-09-17 |
| 1609403500 | Lindsay S Takeda Dds Inc | Dentist | 1394 E Alluvial Ave Ste 104, Fresno, CA 93720-2696 | 2020-03-23 |
| 1144788910 | Ravinder Kaur | Dentist | 2676 N Cecelia Ave, Fresno, CA 93722-6866 | 2019-03-11 |
| 1104381110 | Diana Correavelosa Dds Inc | Dentist | 7614 N Fresno St Ste 105, Fresno, CA 93720-7406 | 2019-02-04 |
| 1396209821 | Ehsan Diab Dental Company Inc. | Dentist | 1665 W Shaw Ave Ste 103, Fresno, CA 93711-3508 | 2019-01-29 |
| 1174094734 | Mohammed Shafayetul Islam | Dentist | 2610 E Nees Ave Apt 133, Fresno, CA 93720-6016 | 2018-12-07 |
| 1073023172 | Jungsuk Suh | Dentist | 4747 N 1st St Ste 174, Fresno, CA 93726-0517 | 2017-10-03 |
| 1033632435 | Laine Alise Janzen | Dentist | 7730 N Fresno St Ste 101, Fresno, CA 93720-2408 | 2017-07-18 |
| 1710416847 | Leticia D Ramirez | Dentist | 3248 E Shields Ave Ste B, Fresno, CA 93726-6915 | 2017-06-12 |
| 1679008262 | Raymond M Cheung | Dentist | 7770 N Fresno St Ste 105, Fresno, CA 93720 | 2017-04-21 |
| Find all providers in FRESNO | ||||
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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.