DR. JIN H PARK DMD
NPI 1265657027
Dentist - General Practice in Philadelphia, PA
About Dr. Jin H Park Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JIN H PARK DMD (NPI 1265657027) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS031108L) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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. Jin H Park Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Jin Park's NPI number?
The NPI number for Jin Park is 1265657027. It was assigned to this individual provider in the NPPES registry on April 16, 2007. The provider is also known as Andrew Park.
Where is Jin Park located?
Jin Park practices at 3223 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-2890.
What is Jin Park's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jin Park enrolled in Medicare?
Yes. Jin Park is registered in the Medicare PECOS enrollment system.
What insurance does Jin Park accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Jin 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 Jin Park was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Jin H Park, DMD · NPI 1265657027
General Practice provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 16, 2007.
## Identity
- **NPI:** 1265657027 (Entity type: Individual)
- **Enumerated:** April 16, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DS031108L (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3223 N BROAD ST, Philadelphia, PA 19140-5007
- **Phone:** (215) 707-2890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** March 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265657027) · Data from the CMS NPPES public registry.