DR. KYUNG WOOK PARK DDS
NPI 1669518676
Dentist - General Practice in Ashburn, VA

Q: What is Kyung Park's NPI number?

The NPI number for Kyung Park is 1669518676. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Kyung 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 Kyung Park was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 January 29, 2007PECOS Enrolled

44031 PIPELINE PLZ, SUITE 215, ASHBURN, VA 20147(646) 489-8909 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kyung Wook Park Dds NPPES

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

DR. KYUNG WOOK PARK DDS (NPI 1669518676) is an individual general practice provider in Ashburn, Virginia, licensed in New York (051203) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669518676

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KYUNG WOOK PARKCredential: DDS

Location Address44031 PIPELINE PLZ, SUITE 215Ashburn, VA 20147-5887

Mailing Address9659 Eaton Woods PlLorton, VA 22079-2338 · (646) 489-8909

Phone(646) 489-8909

Sole ProprietorYes

Enumeration DateJanuary 29, 2007

Last NPPES UpdateJune 20, 2011

✔ NPI 1669518676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NY · 051203✔ Licensed in VA · 0401411803

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.

44031 PIPELINE PLZ, Ashburn, VA 20147

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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 Alabama 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. Kyung Wook Park Dds 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 20147 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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 Kyung Park's NPI number?

The NPI number for Kyung Park is 1669518676. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Kyung Park located?

Kyung Park practices at 44031 Pipeline Plz Suite 215, Ashburn, VA 20147. The listed phone number is (646) 489-8909.

What is Kyung Park's specialty?

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

Is Kyung Park enrolled in Medicare?

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

What insurance does Kyung 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 Kyung 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 Kyung Park was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.