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Dr. Ha Eun Park , DMD

Dentist - General Practice β€’ Festus, MO

Active NPI 1598455339 Individual Practitioner Female Practitioner
Practice location in NPPES

1275 N Truman Blvd
Festus, MO 630281176

Call 8448538937 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1275 N Truman Blvd

Festus, MO 630281176

Telephone 8448538937
Organization at the Same NPPES Address or Phone
Schnuck Markets Inc Facility NPI 1942785704

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Kirksville, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Park has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Park as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Festus and Missouri

16 active clinicians are listed under Dentist - General Practice with a practice address in Festus, MO (1,988 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Festus

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MO 2025019296

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20250701001277

Enrollment State Jurisdiction

MO

PECOS Control ID

5294248472

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

800 W Jefferson St

Kirksville, MO 635011443

Phone: 8666262878

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Richard Buckles , DO

Internal Medicine

NPI 1023121993

Doctor of Osteopathic Medicine (D.O.)

NPI 1033750070
NPI 1003270851

Master of Arts, LADCS, CPCI, Licensed Professional Counselor

Dr. Megan Stayton , DMD

Dentist - General Practice

NPI 1023708047

Doctor of Dental Medicine

Megan Yonker , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033617790

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 24, 2025

Registered at 1275 N TRUMAN BLVD, FESTUS, MO 630281176 (Tel: 8448538937)

πŸ“
Updated Business Mailing Address June 24, 2025

Registered at 1800 COMMUNITY, CLINTON, MO 647358804

πŸ‘€
Provider Name / Credentials Updated June 24, 2025

Recorded as HA EUN PARK, DMD

βœ…
NPI Profile Active May 12, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 12, 2023

Registered at 800 W JEFFERSON ST, KIRKSVILLE, MO 635011443 (Tel: 8666262878)

πŸ“
Business Mailing Address (Initial Record) May 12, 2023

Registered at 1515 LAFAYETTE AVE UNIT 316, SAINT LOUIS, MO 631043351

πŸ‘€
Provider Name / Credentials (Initial Record) May 12, 2023

Recorded as HA EUN PARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 12, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598455339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2023
Last Update: June 24, 2025
Sole Proprietor: No

Other Dentist - General Practices in Festus

All Dentist - General Practices in Festus

Mailing Address

1800 Community

Clinton, MO 647358804

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.