DR. JAE W PARK DDS
NPI 1144232968
Dentist in Christiansburg, VA

Q: What is Jae Park's NPI number?

The NPI number for Jae Park is 1144232968. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Jae Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Park was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2006PECOS Enrolled

114 N FRANKLIN ST, CHRISTIANSBURG, VA 24073(540) 382-6108 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jae W Park Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAE W PARK DDS (NPI 1144232968) is an individual dentist in Christiansburg, Virginia, licensed in Virginia (0401414774) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144232968

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JAE W PARKCredential: DDS

Location Address114 N FRANKLIN STChristiansburg, VA 24073-2953

Mailing Address114 N Franklin StChristiansburg, VA 24073-2953 · (540) 382-6108

Phone(540) 382-6108

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateJune 1, 2015

✔ NPI 1144232968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401414774

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

114 N FRANKLIN ST, Christiansburg, VA 24073

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jae W Park Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETER J MCDONALD DDS

Dentist (General Practice)

114 N FRANKLIN ST
CHRISTIANSBURG, VA 24073

Montgomery County (540) 382-6108

PETER J MCDONALD DDS PC

Dentist (General Practice)

114 N FRANKLIN ST
CHRISTIANSBURG, VA 24073

Montgomery County (540) 382-6108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Park's NPI number?

The NPI number for Jae Park is 1144232968. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Jae Park located?

Jae Park practices at 114 N Franklin St, Christiansburg, VA 24073. The listed phone number is (540) 382-6108.

What is Jae Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jae Park enrolled in Medicare?

Yes. Jae Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae Park was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.