SOHYUN PARK DDS, MDS
NPI 1356624175
Dentist - Periodontics in San Francisco, CA
About Sohyun Park Dds, Mds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOHYUN PARK DDS, MDS (NPI 1356624175) is an individual periodontics provider in San Francisco, California, licensed in California (DDS102257) and active in the NPI registry since September 2011. She has opted out of Medicare through July 2, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Sohyun Park Dds, Mds 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 July 2, 2025 through July 2, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Sohyun Park's NPI number?
The NPI number for Sohyun Park is 1356624175. It was assigned to this individual provider in the NPPES registry on September 28, 2011.
Where is Sohyun Park located?
Sohyun Park practices at 450 Sutter St Rm 2400, San Francisco, CA 94108. The listed phone number is (415) 989-0550.
What is Sohyun Park's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Sohyun Park enrolled in Medicare?
No. Sohyun Park has opted out of Medicare through July 2, 2027. 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 Sohyun Park accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 1 other insurer list Sohyun 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 Sohyun Park was last updated on November 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sohyun Park, DDS, MDS · NPI 1356624175
Periodontics provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since September 28, 2011.
## Identity
- **NPI:** 1356624175 (Entity type: Individual)
- **Enumerated:** September 28, 2011
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** DDS102257 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 SUTTER ST RM 2400, San Francisco, CA 94108-4203
- **Phone:** (415) 989-0550
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 2, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** November 25, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1356624175) · Data from the CMS NPPES public registry.