DR. SO YOUNG PARK (NPI# 1821510314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821510314 |
| Entity Type | Individual |
| Full Name | DR. SO YOUNG PARK |
| Credential | DDS |
| Practice Address |
100 S 4th St Unit 2 Eldridge IA 52748 |
| Mailing Address |
410 3rd Ave Apt 1 Coralville IA 52241-2409 |
| Practice Telephone | 5632855600 |
| Practice Fax Number | 5632855601 |
| Mailing Telephone | 7342559641 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS-09424 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184977829 | So Young Park | Dentist | 1660 Westwood Dr Ste G, San Jose, CA 95125-5100 | 2012-10-18 |
| 1841415056 | So Young Park | Physical Therapist | 2600 S Parker Rd, #3-135, Aurora, CO 80014-1613 | 2007-04-13 |
| Street Address |
100 S 4TH ST UNIT 2 |
| City | ELDRIDGE |
| State | IA |
| Zip Code | 52748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982089025 | Gerard Chiropractic | Chiropractor | 112 West Davenport St Unit 1, Eldridge, IA 52748 | 2015-07-29 |
| 1154567956 | Connie J. Shaw | Dentist | 5a Lincoln Ave, Eldridge, IA 52748 | 2008-12-29 |
| 1447434121 | Clinton Back and Neck Care Center, PC | Chiropractor | 616 Parkview Place, Eldridge, IA 52748 | 2007-12-18 |
| 1174716542 | Grand Haven LLC | Assisted Living Facility | 201 East Franklin St, Eldridge, IA 52748 | 2007-08-20 |
| 1770624124 | Heather Ann Nelson Jordahl | Chiropractor | 224 North 2nd St, Eldridge, IA 52748 | 2007-02-09 |
| 1861434391 | North Scott Pharmacy Inc | Pharmacy | 225 E Leclaire Rd, Eldridge, IA 52748 | 2006-06-11 |
| 1871571224 | Richard R Ripperger | Orthopaedic Surgery | 27005 Glynns Creek Ct, Eldridge, IA 52748 | 2006-01-05 |
| 1154818847 | Chizek Family Eyecare Inc | Optometrist | 251 N 6th Ave, Eldridge, IA 52748 | 2018-04-18 |
| 1427099605 | Julie A Schrad-swank | Chiropractor | 1120 W Davies St, Eldridge, IA 52748-1064 | 2006-06-09 |
| 1467573246 | Jennifer Ann Mccabe | Speech-Language Pathologist | 1121 W Maple St, Eldridge, IA 52748-1091 | 2007-04-02 |
| Find all providers in zip 52748 | ||||
| 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 |
|---|---|---|---|---|
| 1144241654 | Julie S. Daniels | Dentist | 201 N 6th Ave, Eldridge, IA 52748-1759 | 2006-07-21 |
| 1356365381 | Robert Scott Daniels | Dentist | 201 N 6th Ave, Eldridge, IA 52748-1759 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1295343804 | Gabrielle Genevieve Henry | Dentist | 401 Haganman Ln, Solon, IA 52333-9760 | 2020-07-20 |
| 1942827811 | Kalona Family Dental, Plc | Dentist | 1206 E Ave, Kalona, IA 52247-9767 | 2020-06-26 |
| 1245856582 | Reena Patel | Dentist | 401 S Gear Ave Ste 101, West Burlington, IA 52655-1067 | 2020-06-23 |
| 1679199574 | Flora Yu Harn Yen | Dentist | 3602 Ne Otterview Cir, Ankeny, IA 50021-7773 | 2020-06-17 |
| 1679198030 | Colin Earl Odland | Dentist | 1089 Jordan Creek Pkwy Ste 100, West Des Moines, IA 50266-5829 | 2020-06-11 |
| 1124653860 | Chase Frei | Dentist | 2615 S Center St, Marshalltown, IA 50158-4501 | 2020-03-03 |
| 1649828344 | Stephanie Jo Heyland | Dentist | 4723 Avenue J, Fort Madison, IA 52627-9511 | 2019-08-27 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1386296671 | Dillon Wesley Schloerb | Dentist | 1606 Golden Aspen Dr Ste 110, Ames, IA 50010-8011 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
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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.