Soo Park, DDS

ActiveIndividual ProviderDentistry
NPI issued: April 22, 2006

Quick Facts

NPI Number
1124084728
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(661) 948-1655
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1124084728)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (April 22, 2006)
Data source: CMS NPPES

Provider Overview

SOO PARK, DDS is a Dentistry provider based in Lancaster, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124084728
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateApril 22, 2006

Practice Location

CityLancaster
StateCA
ZIP Code93534
Phone(661) 948-1655

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateCA

Mailing Address

CityLancaster
StateCA
ZIP Code93534
Phone(661) 948-1655
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1124084728 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1124084728for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1124084728 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
125,053
Dentistry Providers in the US

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People Also Ask

What is Soo Park's NPI number?
Soo Park's NPI number is 1124084728, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Soo Park's NPI currently active?
Yes, Soo Park's NPI status is Active as of the latest CMS NPPES database updates.
What does Soo Park specialize in?
Soo Park specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Soo Park practice?
Soo Park practices in Lancaster, CA 93534.
When was Soo Park's NPI issued?
Soo Park's NPI was issued on April 22, 2006.
What is Soo Park's provider type?
Soo Park is registered as an Individual Provider under CMS NPI Type 1.