JIN WOO PARK DMD
NPI 1992017461
Dentist in Cleburne, TX

Q: What is Jin Park's NPI number?

The NPI number for Jin Park is 1992017461. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Q: What is Jin Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jin Park was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 13, 2010PECOS Enrolled

1607 W HENDERSON ST STE K, CLEBURNE, TX 76033(817) 522-3166(817) 522-3168 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2021, Jun 25, 2021 (2 updates tracked since 2021).

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About Jin Woo Park Dmd NPPES

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

JIN WOO PARK DMD (NPI 1992017461) is an individual dentist in Cleburne, Texas, licensed in Texas (29792) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992017461

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJIN WOO PARKCredential: DMD

Location Address1607 W HENDERSON ST STE KCleburne, TX 76033-4179

Mailing Address1607 W Henderson St Ste #kCleburne, TX 76033 · (817) 522-3166 · Fax (817) 522-3168

Phone(817) 522-3166

Fax(817) 522-3168

Sole ProprietorNo

Enumeration DateJuly 13, 2010

Last NPPES UpdateOctober 27, 20212 updates tracked since enumeration

NPPES CertifiedOctober 27, 2021

✔ NPI 1992017461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 29792

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.

1607 W HENDERSON ST STE K, Cleburne, TX 76033

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Secondary Practice Locations 2

Location 1310 Harmony Hill RdGrapevine, TX 76051-1134 · Phone (267) 210-2725

Location 2126 N International Rd Ste AGarland, TX 75042-6515 · Phone (972) 272-7944

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jin Woo 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 76033 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

CLEBURNE DENTAL STUDIO PLLC

Dentist (General Practice)

1607 W HENDERSON ST STE K
CLEBURNE, TX 76033

Johnson County (817) 522-3166

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 Jin Park's NPI number?

The NPI number for Jin Park is 1992017461. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Jin Park located?

Jin Park practices at 1607 W Henderson St Ste K, Cleburne, TX 76033. The listed phone number is (817) 522-3166.

What is Jin Park's specialty?

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

Is Jin Park enrolled in Medicare?

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

What insurance does Jin 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 20 other insurers list Jin 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 Jin Park was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.