DR. SOHEE KIM PARK DMD, MHS
NPI 1700800497
Dentist - Periodontics in Columbia, SC
About Dr. Sohee Kim Park Dmd, Mhs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOHEE KIM PARK DMD, MHS (NPI 1700800497) is an individual periodontics provider in Columbia, South Carolina, licensed in South Carolina (3592) and active in the NPI registry since July 2006. She has opted out of Medicare through February 23, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Sohee Kim Park Dmd, Mhs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2014 through February 23, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sohee Park's NPI number?
The NPI number for Sohee Park is 1700800497. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Sohee Park located?
Sohee Park practices at 456 Clemson Rd, Columbia, SC 29229. The listed phone number is (803) 788-9715.
What is Sohee Park's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Sohee Park enrolled in Medicare?
No. Sohee Park has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Sohee Park accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina list Sohee 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 Sohee Park was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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. Sohee Kim Park, DMD, MHS · NPI 1700800497
Periodontics provider in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1700800497 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 3592 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 456 CLEMSON RD, Columbia, SC 29229-7925
- **Phone:** (803) 788-9715 · **Fax:** (803) 788-9705
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 23, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 27, 2019
- **Other identifiers:** Medicaid ZX3592 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1700800497) · Data from the CMS NPPES public registry.