JEONG BEN PARK MD
NPI 1821841339
Student in an Organized Health Care Education/Training Program in Dallas, TX
About Jeong Ben Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEONG BEN PARK MD (NPI 1821841339) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeong Ben Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
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 Jeong Ben Park's NPI number?
The NPI number for Jeong Ben Park is 1821841339. It was assigned to this individual provider in the NPPES registry on April 8, 2024.
Where is Jeong Ben Park located?
Jeong Ben Park practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-0111.
What is Jeong Ben Park's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jeong Ben Park enrolled in Medicare?
Yes. Jeong Ben Park is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jeong Ben Park was last updated on April 8, 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.
# Jeong Ben Park, MD · NPI 1821841339
Student in an Organized Health Care Education/Training Program provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since April 8, 2024.
## Identity
- **NPI:** 1821841339 (Entity type: Individual)
- **Enumerated:** April 8, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3500 GASTON AVE, Dallas, TX 75246-2088
- **Phone:** (214) 820-0111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1821841339) · Data from the CMS NPPES public registry.