DR. JOONIL PARK D.M.D.
NPI 1649552571
Dentist in Federal Way, WA

Active since September 16, 2011PECOS Enrolled
30620 PACIFIC HWY S STE 111, FEDERAL WAY, WA 98003(253) 946-3895 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

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

DR. JOONIL PARK D.M.D. (NPI 1649552571) is an individual dentist in Federal Way, Washington, licensed in Washington (DE60232756) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649552571
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOONIL PARKCredential: D.M.D.
Location Address30620 PACIFIC HWY S STE 111Federal Way, WA 98003-4888
Mailing Address457 Ne Thornton PlSeattle, WA 98125-8022 · (857) 891-5391
Sole ProprietorNo
Enumeration DateSeptember 16, 2011
Last NPPES UpdateFebruary 22, 2012
NPI 1649552571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WA · DE60232756
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

30620 PACIFIC HWY S STE 111, Federal Way, WA 98003

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 (PECOS)

Dr. Joonil 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 98003 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 (General Practice)
30620 PACIFIC HWY S STE 111
FEDERAL WAY, WA 98003

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 Joonil Park's NPI number?

The NPI number for Joonil Park is 1649552571. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Joonil Park located?

Joonil Park practices at 30620 Pacific Hwy S Ste 111, Federal Way, WA 98003. The listed phone number is (253) 946-3895.

What is Joonil Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Joonil Park enrolled in Medicare?

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

What insurance does Joonil Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Joonil 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 Joonil Park was last updated on February 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.