DONGSOON PARK,D.C,P.C.
NPI 1255606455
Chiropractor in Brooklyn, NY
About Dongsoon Park,d.c,p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONGSOON PARK,D.C,P.C. (NPI 1255606455) is a healthcare organization registered as a chiropractor in Brooklyn, New York and active in the NPI registry since March 2012. The organization lists Dong Soon Park, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dongsoon Park,d.c,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dongsoon Park,d.C,p.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dongsoon Park,d.C,p.C.'s NPI number?
The NPI number for Dongsoon Park,d.C,p.C. is 1255606455. It was assigned to this organization in the NPPES registry on March 20, 2012.
Where is Dongsoon Park,d.C,p.C. located?
Dongsoon Park,d.C,p.C. is located at 7003 Fort Hamilton Pkwy, Brooklyn, NY 11228. The listed phone number is (718) 333-5603.
What is Dongsoon Park,d.C,p.C.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Dongsoon Park,d.C,p.C. enrolled in Medicare?
Yes. Dongsoon Park,d.C,p.C. is registered in the Medicare PECOS enrollment system.
When is Dongsoon Park,d.C,p.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dongsoon Park,d.C,p.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dongsoon Park,d.C,p.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dongsoon Park,d.C,p.C. was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dongsoon Park,d.c,p.c. · NPI 1255606455
Chiropractor organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since March 20, 2012.
## Identity
- **NPI:** 1255606455 (Entity type: Organization)
- **Enumerated:** March 20, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Dong Park, PRESIDENT
## Practice location
- **Address:** 7003 FORT HAMILTON PKWY, Brooklyn, NY 11228-1103
- **Phone:** (718) 333-5603 · **Fax:** (718) 333-5604
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1255606455) · Data from the CMS NPPES public registry.