DR. JAKE J PARK D.C.
NPI 1437278025
Chiropractor in Ellicott City, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jake Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Owings Mills, MD 21117
- Reassigned Medicare billing, Maryland enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
ELLICOTT CITY, MD 21042
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.
Which organization bills Medicare for Jake Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Park reassigns Medicare benefits to Health Quest Chiropractic & Physical Therapy, LLC (Owings Mills, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Jake J Park, D.C. · NPI 1437278025
Chiropractor provider in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since March 28, 2007.
## Identity
- **NPI:** 1437278025 (Entity type: Individual)
- **Enumerated:** March 28, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 02017 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 9005 CHEVROLET DR, SUITE 4, Ellicott City, MD 21042-4009
- **Phone:** (410) 465-3221 · **Fax:** (410) 465-3514
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Health Quest Chiropractic & Physical Therapy, LLC (NPI 1275651176, Owings Mills, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2009
## Record status
- **NPPES last updated:** February 6, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1437278025) · Data from the CMS NPPES public registry.