DR. JAKE PARK DDS
NPI 1801633730
Dentist - General Practice in Cleburne, TX

Q: What is Jake Park's NPI number?

The NPI number for Jake Park is 1801633730. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Q: What is Jake 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 Jake Park was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 09, 2024

1661 W HENDERSON ST, CLEBURNE, TX 76033(682) 317-5111 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jake Park Dds NPPES

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

DR. JAKE PARK DDS (NPI 1801633730) is an individual general practice provider in Cleburne, Texas, licensed in Texas (40767) and active in the NPI registry since July 2024. He maintains a secondary practice location in Brea.

NPPES Registry Identity

NPI1801633730

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAKE PARKCredential: DDS

Location Address1661 W HENDERSON STCleburne, TX 76033-4230

Mailing Address540 Coyote Canyon WayBrea, CA 92821-3530 · (714) 504-3579

Phone(682) 317-5111

Sole ProprietorNo

Enumeration DateJuly 9, 2024

NPPES CertifiedJuly 9, 2024

✔ NPI 1801633730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 40767

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.

1661 W HENDERSON ST, Cleburne, TX 76033

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Secondary Practice Location 1

Location 1540 Coyote Canyon WayBrea, CA 92821-3530 · Phone (714) 788-7883

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

ALEC RILEY REUSCHE

Dentist (General Practice)

1661 W HENDERSON ST
CLEBURNE, TX 76033

Johnson County (817) 673-2349

ANUM FATIMA RAZA

Dentist

1661 W HENDERSON ST
CLEBURNE, TX 76033

Johnson County (682) 317-5111

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 Jake Park's NPI number?

The NPI number for Jake Park is 1801633730. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Jake Park located?

Jake Park practices at 1661 W Henderson St, Cleburne, TX 76033. The listed phone number is (682) 317-5111.

What is Jake Park's specialty?

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

What insurance does Jake Park accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Jake 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 Jake Park was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.