Jae Houng Park, DMD
NPI 1336984723 · General Practice Dentistry · Las Vegas, NV
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jae Houng Park, DMD is a General Practice Dentistry provider in Las Vegas, NV (NPI 1336984723).
Provider details
- NPI number
- 1336984723
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 8083 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-27
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Frequently asked questions
- What is Jae Houng Park's NPI number?
- Jae Houng Park's National Provider Identifier (NPI) is 1336984723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jae Houng Park's specialty?
- Jae Houng Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jae Houng Park located?
- Jae Houng Park's practice location on file with NPPES is 8380 W Cheyenne Ave Ste 102, Las Vegas, NV 89129-2175.
- What is Jae Houng Park's phone number?
- The practice phone number listed in the NPPES registry for Jae Houng Park is (360) 536-7522.
- Does Jae Houng Park accept Medicare?
- Jae Houng Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jae Houng Park's NPI active?
- Yes — Jae Houng Park's NPI (1336984723) is active in the NPPES registry as of the last update on 2024-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.