SJPARK DENTAL, PC
NPI 1245059492
Dentist - General Practice in Fairfax, VA

NPI Status: Active since October 04, 2024

Contact Information

4001 FAIR RIDGE DR STE 105
FAIRFAX, VA
ZIP 22033
Phone: (703) 352-0741
Fax: (703) 352-0046

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  • Organization
  • Dentist
  • General Practice

About SJPARK DENTAL, PC

This page provides the complete NPI Profile along with additional information for Sjpark Dental, Pc, a provider established in Fairfax, Virginia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1245059492 assigned on October 2024. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sungbum Park Dds (Director/ Dentist)

NPI
1245059492
Provider Name
SJPARK DENTAL, PC
Entity Type
Organization
Location Address
4001 FAIR RIDGE DR STE 105 FAIRFAX, VA 22033
Location Phone
(703) 352-0741
Location Fax
(703) 352-0046
Mailing Address
4001 FAIR RIDGE DR STE 105 FAIRFAX, VA 22033
Mailing Phone
(703) 352-0741
Mailing Fax
(703) 352-0046
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2024
Last Update Date
10-04-2024
Code Navigator

A dentist like Sjpark Dental, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUNGBUM PARK DDS

Authorized Official Title
DIRECTOR/ DENTIST
Authorized Official Phone
(703) 352-0741

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245059492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22850518418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 0 + 5 + 1 + 8 + 4 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1245059492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992117741PREMIER DENTAL ARTS, LLC
Organization
Preferred Provider Organization4001 FAIR RIDGE DR STE 105
FAIRFAX, VA 22033
(703) 865-6276
1689802076 FAN YU
Individual
Dentist4001 FAIR RIDGE DR STE 105
FAIRFAX, VA 22033
(703) 865-6276

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245059492, enumerated in the NPI registry as an "organization" on October 04, 2024

The provider is located at 4001 Fair Ridge Dr Ste 105 Fairfax, Va 22033 and the phone number is (703) 352-0741

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on October 04, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.