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DR. JOON PARK DDS
NPI 1295251106
Dentist in Apo, AP

Active since August 22, 2017Opted out of Medicare · through Apr 1, 2028
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031, APO, AP 96271(956) 533-5811 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, Aug 22, 2017 (2 updates tracked since 2017).

About Dr. Joon Park Dds NPPES

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

DR. JOON PARK DDS (NPI 1295251106) is an individual dentist in Apo, AP, licensed in Illinois (019.031353) and active in the NPI registry since August 2017. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295251106
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOON PARKCredential: DDS
Location AddressBRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031Apo, AP 96271
Mailing Address5045 Harvard TerSkokie, IL 60077-2826
Phone(956) 533-5811
Sole ProprietorNo
Enumeration DateAugust 22, 2017
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1295251106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.031353
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.

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

ⓘ

Opted out of Medicare

Dr. Joon Park Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MISS HYUN-JU KANG DNP, FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT # 15245 ; BLDG 3031
APO, AP 96271
(315) 737-1980
DR. GRANT BEAMAN PSYD
Psychologist (Clinical)
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031
APO, AP 96271
(315) 737-1904
MICHAEL C O'HARA LSW
Social Worker
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT # 15245 ; BLDG 3031
APO, AP 96271
(315) 737-4237
CARLY MARIE KATALINIC MD
Obstetrics & Gynecology
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT 15245
APO, AP 96271
(503) 337-2273
MR. OSCAR CHRISTIAN PHYSICIAN ASSISTANT
Physician Assistant
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031
APO, AP 96271
(210) 302-2222
MICHELLE NARAY INGERSOLL OTR/L
Occupational Therapist
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031
APO, AP 96271
(315) 737-5811
MR. OPARAUGO WILFRED AKURUKA PA, APA
Physician Assistant (Medical)
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031
APO, AP 96271
(000) 000-0000
NICHOLAS VICTOR OBERHOLTZER
Physical Therapist
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031
APO, AP 96271
(717) 318-0829

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 Joon Park's NPI number?

The NPI number for Joon Park is 1295251106. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Joon Park located?

Joon Park practices at Brian D. Allgood Army Community Hospital (bdaach) Unit #15245; Bldg 3031, Apo, AP 96271. The listed phone number is (956) 533-5811.

What is Joon Park's specialty?

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

Is Joon Park enrolled in Medicare?

No. Joon Park has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Joon 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 and Humana list Joon 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 Joon Park was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.