DR. JOHN I PARK (DMD) – General Practice Dentistry, NPI 1295754018

DR. JOHN I PARK (DMD) is a healthcare provider. based in Winter haven, Florida. specializing in General Practice Dentistry. They hold the professional credentials DMD. They hold a License No. DN14475 (FL). The NPI Number for DR. JOHN I PARK (DMD) is 1295754018

Main info

Male
Sole Proprietor
Name
DR. JOHN I PARK (DMD)
NPI
1295754018
Phone
(863) 293-0023
Address
400 AVENUE K SE
Enumeration Date
19 July 2006
Last Update Date
6 January 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN I PARK (DMD)

  • 400, Avenue K Southeast, Winter Haven, Polk County, Florida, 33880, United States

    STE 12

    WINTER HAVEN, FL 33880

    Phone: (863) 293-0023

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $712.

Total Amount is formed as General ($712) + Research ($0) + Ownership ($0) = $712.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Acteon Inc ($644).

Total Amount

$712

General + Research + Ownership

Payments

3

Total payment records

General Amount

$712

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33880)

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Reviews

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Frequently asked questions

Does DR. JOHN I PARK (DMD) have a public NPI I can cite?
Public records show DR. JOHN I PARK (DMD) under NPI 1295754018.
Should I treat DR. JOHN I PARK (DMD) as an active provider?
Patients and plans typically see DR. JOHN I PARK (DMD) as active in the national extract.
What does the directory say DR. JOHN I PARK (DMD) does?
Insurance directories may phrase it differently, but here DR. JOHN I PARK (DMD) maps to General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN I PARK (DMD)?
DR. JOHN I PARK (DMD) is associated with Winter Haven, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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