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DR. HYUNKYU PARK DMD
NPI 1851943674
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since July 11, 2019PECOS Enrolled
22201 MOROSS RD STE 155, DETROIT, MI 48236(313) 499-4775 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2025, Aug 16, 2023, Jul 26, 2022 and 2 more (5 updates tracked since 2019).

About Dr. Hyunkyu Park Dmd NPPES

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

DR. HYUNKYU PARK DMD (NPI 1851943674) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hutchinson.

NPPES Registry Identity

NPI1851943674
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. HYUNKYU PARKCredential: DMD
Location Address22201 MOROSS RD STE 155Detroit, MI 48236-2152
Mailing Address22201 Moross Rd Ste 155Detroit, MI 48236-2152 · (313) 499-4775
Phone(313) 499-4775
Sole ProprietorNo
Enumeration DateJuly 11, 2019
Last NPPES UpdateAugust 7, 20255 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1851943674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDentistTaxonomy 122300000X · License 2901601710 (MI), 30.026852 (OH), D13889 (MN)
22201 MOROSS RD STE 155, Detroit, MI 48236
Open in Google Maps ↗

Secondary Practice Location 1

Location 11060 Highway 15 SHutchinson, MN 55350-3157 · Phone (320) 234-6677

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Hyunkyu Park Dmd 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.

Other Providers at the Same Location NPPES 5

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

KEVIN MARZOLF DDS
Dentist
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
JONATTAN EDUARDO ANGULO-OCHOA DDS
Oral & Maxillofacial Surgery
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4929
PRESTON L FONG
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
DR. DAVID LOUIS SZANDZIK D.D.S.
Dentist (Oral and Maxillofacial Surgery)
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
DR. RICHARD MICHAEL BENIAN D.D.S
Dentist (Oral and Maxillofacial Surgery)
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775

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 Hyunkyu Park's NPI number?

The NPI number for Hyunkyu Park is 1851943674. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Hyunkyu Park located?

Hyunkyu Park practices at 22201 Moross Rd Ste 155, Detroit, MI 48236. The listed phone number is (313) 499-4775.

What is Hyunkyu 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 Hyunkyu Park enrolled in Medicare?

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

What insurance does Hyunkyu Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Hyunkyu 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 Hyunkyu Park was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.