1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Dentist
  6. NPI Profile

DR. JOSEPH WON-JOON PARK D.M.D
NPI 1205813227
Dentist - Oral and Maxillofacial Surgery in Columbia, SC

Active since December 30, 2005PECOS Enrolled
1755 SAINT JULIAN PL, COLUMBIA, SC 29204(803) 254-2972(803) 799-2151 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Joseph Won-joon Park D.m.d NPPES

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

DR. JOSEPH WON-JOON PARK D.M.D (NPI 1205813227) is an individual oral and maxillofacial surgery provider in Columbia, South Carolina, licensed in South Carolina (3613) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1999).

NPPES Registry Identity

NPI1205813227
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOSEPH WON-JOON PARKCredential: D.M.D
Location Address1755 SAINT JULIAN PLColumbia, SC 29204-2409
Mailing Address1755 Saint Julian PlColumbia, SC 29204-2409 · (803) 254-2972 · Fax (803) 799-2151
Phone(803) 254-2972
Fax(803) 799-2151
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1999
Enumeration DateDecember 30, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1205813227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 3613
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1755 SAINT JULIAN PL, Columbia, SC 29204
Open in Google Maps ↗

Other Identifiers 1

MedicaidZX3613SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Won-joon Park D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294730180
PECOS Enrollment IDI20060927000579
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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midlands Oral And Maxillofacial Surgery
0.7 mi
Oral and Maxillofacial Surgery
1755 SAINT JULIAN PL
Columbia, SC 29204
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1386699288 (803) 254-2972

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29204 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 4

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

DR. HEATH MCALVIN STEWART D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
MIDLANDS ORAL AND MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
DR. JAMES LEMON D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
DR. DAVID BRIAN TEVEPAUGH D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972

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 Joseph Park's NPI number?

The NPI number for Joseph Park is 1205813227. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Joseph Park located?

Joseph Park practices at 1755 Saint Julian Pl, Columbia, SC 29204. The listed phone number is (803) 254-2972.

What is Joseph Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Joseph Park enrolled in Medicare?

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

Which organization bills Medicare for Joseph Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Park reassigns Medicare benefits to Midlands Oral And Maxillofacial Surgery (Columbia, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Park was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.