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JOO HYOUNG PARK
NPI 1659749612
Dentist - Pediatric Dentistry in Rochester, NY

Active since September 08, 2015PECOS Enrolled
625 ELMWOOD AVE, ROCHESTER, NY 14620(585) 275-5051 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joo Hyoung Park NPPES

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

JOO HYOUNG PARK (NPI 1659749612) is an individual pediatric dentistry provider in Rochester, New York, licensed in New York (061725) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659749612
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJOO HYOUNG PARK
Location Address625 ELMWOOD AVERochester, NY 14620-2913
Mailing Address350 N Clark St Fl 6, Dental Dreams Llc C/o Danielle TharpChicago, IL 60654-4712
Phone(585) 275-5051
Sole ProprietorYes
Enumeration DateSeptember 8, 2015
Last NPPES UpdateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1659749612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NY · 061725
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 019.030227 (IL)
625 ELMWOOD AVE, Rochester, NY 14620
Open in Google Maps ↗

Accepted Insurance

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

Joo Hyoung Park 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 14620 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

AHMED ALSAYED
Dentist
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-5051
DOROTA KOPYCKA-KEDZIERAWSKI D.D.S.
Dentist (General Practice)
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-0706
HAZEM ALWAZZAN D.D.S.
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-5087
ALEXIS VASCIANNIE
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-5051
DR. DARREN MORGAN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 424-6400
DR. CHRISTOPHER DANNA DDS
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-5051
LORENA CIDRAL
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-5051
NOJOOD ELBAAGE
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-1147

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 Joo Hyoung Park's NPI number?

The NPI number for Joo Hyoung Park is 1659749612. It was assigned to this individual provider in the NPPES registry on September 8, 2015.

Where is Joo Hyoung Park located?

Joo Hyoung Park practices at 625 Elmwood Ave, Rochester, NY 14620. The listed phone number is (585) 275-5051.

What is Joo Hyoung Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Joo Hyoung Park enrolled in Medicare?

Yes. Joo Hyoung Park is registered in the Medicare PECOS enrollment system.

What insurance does Joo Hyoung Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Joo Hyoung 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 Joo Hyoung Park was last updated on July 15, 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.