DR. JOHN I PARK DMD
NPI 1295754018
Dentist - General Practice in Winter Haven, FL

NPI Status: Active since July 19, 2006

Contact Information

400 AVENUE K SE
STE 12
WINTER HAVEN, FL
ZIP 33880
Phone: (863) 293-0023

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  • Individual
  • Male
  • Dentist
  • General Practice

About JOHN PARK

This page provides the complete NPI Profile along with additional information for John Park, a provider established in Winter Haven, Florida with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1295754018 assigned on July 2006. The practitioner's primary taxonomy code is 1223G0001X with license number DN14475 (FL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1295754018
Provider Name
DR. JOHN I PARK DMD
Gender
Male
Entity Type
Individual
Location Address
400 AVENUE K SE STE 12 WINTER HAVEN, FL 33880
Location Phone
(863) 293-0023
Mailing Address
400 AVENUE K SE STE 12 WINTER HAVEN, FL 33880
Mailing Phone
(863) 293-0023
Is Sole Proprietor?
Yes
Enumeration Date
07-19-2006
Last Update Date
01-06-2017
Code Navigator

A dentist like John Park 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.

Location Map

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
License No.
DN14475
License State
FL
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
59-355-5785OTHER (01)FLTAX ID NUMBER

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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.
1295754018
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185145802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 4 + 5 + 8 + 0 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1295754018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417944000 EVE JOHNSON PA-C
Individual
Physician Assistant (Medical)400 AVENUE K SE SUITE 11
WINTER HAVEN, FL 33880
(863) 294-4404
1730167685MS. MARY P SLEGHT ARNP
Individual
Nurse Practitioner (Primary Care)400 AVENUE K SE
WINTER HAVEN, FL 33880
(863) 294-4404
1891760427MR. MICHAEL DAVID GROSS PA-C
Individual
Physician Assistant (Medical)400 AVENUE K SE SUITE 11
WINTER HAVEN, FL 33880
(863) 294-4404
1265481451RADIOLOGY CONSULTANTS IMAGING CENTER LLC
Organization
Clinic/Center (Radiology)400 AVENUE K SE BUILDING 4
WINTER HAVEN, FL 33880
(863) 292-0297
1720007594DR. RICHARD A WHITE DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)400 AVENUE K SE SUITE #8
WINTER HAVEN, FL 33880
(863) 293-2562
1902829708 ERIC LARUE MD
Individual
Legal Medicine400 AVENUE K SE STE 5
WINTER HAVEN, FL 33880
(863) 293-3909
1639181076JAMES J BOOKER IV MD PA
Organization
Obstetrics & Gynecology400 AVENUE K SE STE 2
WINTER HAVEN, FL 33880
(863) 299-1107
1306879721INTERNAL MEDICINE GROUP OF WINTER HAVEN,P.A.
Organization
Internal Medicine400 AVENUE K SE SUITE 11
WINTER HAVEN, FL 33880
(863) 294-4404
1083637334DR. RIGO CORNEJO DMD MD
Individual
Dentist (Oral and Maxillofacial Surgery)400 AVENUE K SE SUITE #14A
WINTER HAVEN, FL 33880
(863) 294-7648
1609122357WINTER HAVEN ORAL SURGERY, PA
Organization
Dentist (Oral and Maxillofacial Surgery)400 AVENUE K SE SUITE # 14A
WINTER HAVEN, FL 33880
(863) 294-7648
1376550509DR. DAVID C NEAL DDS
Individual
Dentist (Oral and Maxillofacial Surgery)400 AVENUE K SE SUITE #14A
WINTER HAVEN, FL 33880
(863) 294-7648
1659596088DAVID C NEAL DDS PA
Organization
Dentist (Oral and Maxillofacial Surgery)400 AVENUE K SE SUITE #10
WINTER HAVEN, FL 33880
(863) 294-7648
1073723821LARUE AND LARUE PEDIATRICS
Organization
Specialist400 AVENUE K SE STE 5
WINTER HAVEN, FL 33880
(863) 293-3909
1881699718DR. ROBIN A. BAKER M.D.
Individual
Internal Medicine400 AVENUE K SE STE 11
WINTER HAVEN, FL 33880
(863) 294-4404
1619187473TAMARA PISTORIA D.O.
Organization
Pediatrics400 AVENUE K SE STE 5
WINTER HAVEN, FL 33880
(863) 293-3909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295754018, enumerated in the NPI registry as an "individual" on July 19, 2006

The provider is located at 400 Avenue K Se Ste 12 Winter Haven, Fl 33880 and the phone number is (863) 293-0023

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 19, 2006. 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].
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