DR. JAEHAN PARK DDS
NPI 1265151567
Dentist in New Haven, CT

Q: What is Jaehan Park's NPI number?

The NPI number for Jaehan Park is 1265151567. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Jaehan 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 Jaehan Park was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 22, 2022PECOS Enrolled

122 AMITY RD, NEW HAVEN, CT 06515(404) 403-5321 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jaehan Park Dds NPPES

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

DR. JAEHAN PARK DDS (NPI 1265151567) is an individual dentist in New Haven, Connecticut, licensed in Connecticut (13552) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265151567

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JAEHAN PARKCredential: DDS

Location Address122 AMITY RDNew Haven, CT 06515-1405

Mailing Address44 Washington St Apt A308Brookline, MA 02445-7130 · (404) 403-5321

Phone(404) 403-5321

Sole ProprietorYes

Enumeration DateAugust 22, 2022

Last NPPES UpdateAugust 25, 2022

NPPES CertifiedAugust 23, 2022

✔ NPI 1265151567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CT · 13552

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

122 AMITY RD, New Haven, CT 06515

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Jaehan 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 06515 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

HAMDEN PLAZA FAMILY DENTAL, PC

Clinic/Center (Dental)

122 AMITY RD
NEW HAVEN, CT 06515

South Central Connecticut Planning Region (203) 389-9600

DR. SADAF ELAHY DDS

Dentist (General Practice)

122 AMITY RD
NEW HAVEN, CT 06515

South Central Connecticut Planning Region (203) 389-9600

ROBIN KIM LOVECCHIO

Dentist (General Practice)

122 AMITY RD
NEW HAVEN, CT 06515

South Central Connecticut Planning Region (203) 389-9600

DR. JEFFREY PETER SAM

Dentist

122 AMITY RD
NEW HAVEN, CT 06515

South Central Connecticut Planning Region (203) 389-9600

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 Jaehan Park's NPI number?

The NPI number for Jaehan Park is 1265151567. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Jaehan Park located?

Jaehan Park practices at 122 Amity Rd, New Haven, CT 06515. The listed phone number is (404) 403-5321.

What is Jaehan Park's specialty?

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

Is Jaehan Park enrolled in Medicare?

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

What insurance does Jaehan Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Jaehan Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaehan Park was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.