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DR. JONGBAE JAY PARK KMD, PHD, L.AC.
NPI 1194987792
Acupuncturist in Durham, NC

Active since June 26, 2008
1910 SEDWICK RD STE 400A, DURHAM, NC 27713(919) 813-6636 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2020, Sep 28, 2020 (2 updates tracked since 2020).

About Dr. Jongbae Jay Park Kmd, Phd, L.ac. NPPES

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

DR. JONGBAE JAY PARK KMD, PHD, L.AC. (NPI 1194987792) is an individual acupuncturist in Durham, North Carolina, licensed in North Carolina (490) and active in the NPI registry since June 2008. He maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1194987792
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameDR. JONGBAE JAY PARKCredential: KMD, PHD, L.AC.
Location Address1910 SEDWICK RD STE 400ADurham, NC 27713-9428
Mailing Address1910 Sedwick Rd Ste 400aDurham, NC 27713-9428 · (919) 813-6636 · Fax (919) 893-4404
Phone(919) 813-6636
Sole ProprietorYes
Enumeration DateJune 26, 2008
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1194987792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in NC · 490
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
1910 SEDWICK RD STE 400A, Durham, NC 27713
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Secondary Practice Location 1

Location 14822 Six Forks Rd, Suite 202Raleigh, NC 27609-5269 · Phone (919) 724-9985

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 Jongbae Park's NPI number?

The NPI number for Jongbae Park is 1194987792. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Jongbae Park located?

Jongbae Park practices at 1910 Sedwick Rd Ste 400A, Durham, NC 27713. The listed phone number is (919) 813-6636.

What is Jongbae Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Jongbae Park was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.