DR. SUNJOO PARK D.M.D.
NPI 1467801258
Dentist - General Practice in Lafayette, CO

Q: What is Sunjoo Park's NPI number?

The NPI number for Sunjoo Park is 1467801258. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Q: What is Sunjoo Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Sunjoo Park was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 13, 2016PECOS Enrolled

1120 W SOUTH BOULDER RD STE 204, LAFAYETTE, CO 80026(720) 638-2169 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2021, Jun 13, 2016 (2 updates tracked since 2016).

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About Dr. Sunjoo Park D.m.d. NPPES

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

DR. SUNJOO PARK D.M.D. (NPI 1467801258) is an individual general practice provider in Lafayette, Colorado, licensed in Colorado (DEN.00204355) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467801258

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUNJOO PARKCredential: D.M.D.

Location Address1120 W SOUTH BOULDER RD STE 204Lafayette, CO 80026-8952

Mailing Address9580 Ridgegate Pkwy Apt 1229Lone Tree, CO 80124-5393 · (607) 220-4485

Phone(720) 638-2169

Sole ProprietorNo

Enumeration DateJune 13, 2016

Last NPPES UpdateApril 7, 20212 updates tracked since enumeration

NPPES CertifiedApril 7, 2021

✔ NPI 1467801258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · DEN.00204355

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 1001347 (WI)

1120 W SOUTH BOULDER RD STE 204, Lafayette, CO 80026

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sunjoo Park D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80026 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 2

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

KARLY VERA

Dentist

1120 W SOUTH BOULDER RD STE 204
LAFAYETTE, CO 80026

Boulder County (631) 275-7082

PROFESSIONAL DENTAL GROUP

Dentist

1120 W SOUTH BOULDER RD STE 204
LAFAYETTE, CO 80026

Boulder County (720) 638-2169

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 Sunjoo Park's NPI number?

The NPI number for Sunjoo Park is 1467801258. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Sunjoo Park located?

Sunjoo Park practices at 1120 W South Boulder Rd Ste 204, Lafayette, CO 80026. The listed phone number is (720) 638-2169.

What is Sunjoo Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sunjoo Park enrolled in Medicare?

Yes. Sunjoo Park is registered in the Medicare PECOS enrollment system.

What insurance does Sunjoo 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 Florida Combined Life and 4 other insurers list Sunjoo 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 Sunjoo Park was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.