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DR. JAKE J PARK D.C.
NPI 1437278025
Chiropractor in Ellicott City, MD

Active since March 28, 2007Accepts Medicare Assignment
9005 CHEVROLET DR, SUITE 4, ELLICOTT CITY, MD 21042(410) 465-3221(410) 465-3514 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jake J Park D.c. NPPES

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

DR. JAKE J PARK D.C. (NPI 1437278025) is an individual chiropractor in Ellicott City, Maryland, licensed in Maryland (02017) and active in the NPI registry since March 2007. He is a graduate of Logan College Of Chiropractic (2009).

NPPES Registry Identity

NPI1437278025
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JAKE J PARKCredential: D.C.
Location Address9005 CHEVROLET DR, SUITE 4Ellicott City, MD 21042-4009
Mailing Address9005 Chevrolet Dr, Suite 4Ellicott City, MD 21042-4009 · (410) 465-3221 · Fax (410) 465-3514
Phone(410) 465-3221
Fax(410) 465-3514
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2009
Enumeration DateMarch 28, 2007
Last NPPES UpdateFebruary 6, 2017
✔ NPI 1437278025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MD · 02017
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
9005 CHEVROLET DR, Ellicott City, MD 21042
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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

Dr. Jake J Park D.c. 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 ID345267472
PECOS Enrollment IDI20051102000116

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.

MERCY CHIROPRACTIC AND REHABILITATION CLINIC, LLP
Chiropractor
9005 CHEVROLET DR, SUITE 4
ELLICOTT CITY, MD 21042
Howard County (410) 465-3514
DR. ALI R SEDIGHIAN DDS
Dentist
9005 CHEVROLET DR, SUITE 1
ELLICOTT CITY, MD 21042
Howard County (410) 465-3021
PROF. PHILIP T KIM DDS
Dentist
9005 CHEVROLET DR, SUITE 3
ELLICOTT CITY, MD 21042
Howard County (410) 465-6262
GRACE PARK
Acupuncturist
9005 CHEVROLET DR
ELLICOTT CITY, MD 21042
Howard County (443) 538-0675

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 Jake Park's NPI number?

The NPI number for Jake Park is 1437278025. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Jake Park located?

Jake Park practices at 9005 Chevrolet Dr Suite 4, Ellicott City, MD 21042. The listed phone number is (410) 465-3221.

What is Jake Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jake Park enrolled in Medicare?

Yes. Jake 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.

When was this NPI record last updated?

The NPPES record for Jake Park was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.