DA MIN PARK (NPI# 1982223574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982223574 |
| Entity Type | Individual |
| Full Name | DA MIN PARK |
| Credential | DMD |
| Practice Address |
1959 Ne Pacific Street Hsb # B241 Seattle WA 98195-0001 |
| Mailing Address |
Po Box 357134 Seattle WA 98195-7134 |
| Practice Telephone | 2065437496 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | DR61069032 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | WA | Student, Health Care |
| Street Address |
1959 NE PACIFIC STREET HSB # B241 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089318 | Parham A Tabar | Dentist | 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 | 2020-03-23 |
| 1629699715 | Jardin Yousef | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 | 2020-04-30 |
| 1487281507 | Jessica Mehta | Dentist | 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 | 2020-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
| Find all providers in zip 98195 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112575 | Charles David Smith | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001 | 2020-04-03 |
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1952840274 | Onyinyechi Kelechukwu Esonu | Oral & Maxillofacial Surgery | 1959 Ne Pacific St # 357134, University of Washington Department of Oral Surgery, Seattle, WA 98195-0001 | 2017-02-20 |
| 1598146730 | Chia-lin Michael Tsai | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street Hsb Rm B241, Box 357134, Seattle, WA 98195-0001 | 2015-06-12 |
| 1386037570 | Rodney Nakano Nishimoto | Oral & Maxillofacial Surgery | University of Washington Oms, 1959 Ne Pacific Street Box 357134, Seattle, WA 98195 | 2015-03-11 |
| 1164815569 | Joseph Garcia | Oral & Maxillofacial Surgery | 2960 Eastlake Ave E Apt 208, Seattle, WA 98102-2003 | 2015-03-09 |
| 1154687770 | Joshua Stephen Brandner | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street Box 357134, Seattle, WA 98195-3372 | 2012-04-09 |
| 1629699715 | Jardin Yousef | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 | 2020-04-30 |
| 1720607328 | Stephanie Victoria Lustofin | Oral & Maxillofacial Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2020-04-14 |
| Find all providers in SEATTLE | ||||
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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.