SOHYUN STEPHANIE PARK DMD
NPI 1427424068
Dentist - Prosthodontics in South Pasadena, CA

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
627 FREMONT AVE, SOUTH PASADENA, CA 91030(626) 799-6255 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sohyun Stephanie Park Dmd NPPES

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

SOHYUN STEPHANIE PARK DMD (NPI 1427424068) is an individual prosthodontics provider in South Pasadena, California, licensed in Ohio (30.027371) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1427424068
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameSOHYUN STEPHANIE PARKCredential: DMD
Location Address627 FREMONT AVESouth Pasadena, CA 91030-2527
Mailing Address11311 La Grange Ave Apt 327Los Angeles, CA 90025-6868 · (225) 439-3940
Sole ProprietorNo
Medical School CMSHarvard School Of Dental MedicineGraduated 2015
Enumeration DateAugust 18, 2015
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
NPI 1427424068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses Licensed in OH · 30.027371 Licensed in CA · 102415
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentistTaxonomy 122300000X · License DN1857026 (MA)
627 FREMONT AVE, South Pasadena, CA 91030

Secondary Practice Location 1

Location 19500 Euclid AveCleveland, OH 44195-5819 · Phone (216) 444-2200

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 and accepts Medicare assignment

Sohyun Stephanie Park Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446694954
PECOS Enrollment IDI20240222002850
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Prosthodontics)
627 FREMONT AVE
SOUTH PASADENA, CA 91030

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 1427424068. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Sohyun Park located?

Sohyun Park practices at 627 Fremont Ave, South Pasadena, CA 91030. The listed phone number is (626) 799-6255.

What is Sohyun Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Sohyun Park enrolled in Medicare?

Yes. Sohyun Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sohyun Park accept?

Health plans from DentaQuest Insurance Company Inc- OH 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.

Is Sohyun Park affiliated with any hospitals?

According to CMS data, Sohyun Park is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Sohyun Park was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.