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DR. SEONHA PARK DMD
NPI 1932516929
Dentist in Seattle, WA

Active since July 22, 2014PECOS Enrolled
901 BOREN AVE STE 1500, SEATTLE, WA 98104(206) 323-3830 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2018, Oct 1, 2018 (2 updates tracked since 2018).

About Dr. Seonha Park Dmd NPPES

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

DR. SEONHA PARK DMD (NPI 1932516929) is an individual dentist in Seattle, Washington, licensed in Washington (DE61289001) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932516929
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SEONHA PARKCredential: DMD
Location Address901 BOREN AVE STE 1500Seattle, WA 98104-3543
Mailing Address901 Boren Ave Ste 1500Seattle, WA 98104-3543 · (617) 958-1986
Phone(206) 323-3830
Sole ProprietorNo
Enumeration DateJuly 22, 2014
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1932516929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE61289001
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 059007 (NY)
901 BOREN AVE STE 1500, Seattle, WA 98104
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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. Seonha 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES

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

SUKHDEV SINGH, DMD, PS
Dentist (General Practice)
901 BOREN AVE STE 1500
SEATTLE, WA 98104
King County (206) 323-3830

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 Seonha Park's NPI number?

The NPI number for Seonha Park is 1932516929. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Seonha Park located?

Seonha Park practices at 901 Boren Ave Ste 1500, Seattle, WA 98104. The listed phone number is (206) 323-3830.

What is Seonha Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Seonha Park enrolled in Medicare?

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

What insurance does Seonha 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 Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Seonha 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 Seonha Park was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.