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Dr. Jin Woo Park , DMD

Dentist • Cleburne, TX

Active NPI 1992017461 Individual Practitioner Male Practitioner
Practice location in NPPES

1607 W Henderson St Ste K
Cleburne, TX 760334179

Call 8175223166 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

1607 W Henderson St Ste K

Cleburne, TX 760334179

Telephone 8175223166
Fax 8175223168
Organization at the Same NPPES Address or Phone
Cleburne Dental Studio Pllc Facility NPI 1952824468

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 2 distinct additional practice-address records in Garland, TX; Grapevine, TX. 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.

30-day fills

98 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$278 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $25.44 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2010

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, “Does 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 Cleburne and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Dentist in Texas (2024, 2,907 clinicians with data). Median for this group: 41. Middle half: 21 to 86.

Too few clinicians listed under Dentist in Cleburne have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Dentist in Texas (2024, 2,907 clinicians with data). Median for this group: $118. Middle half: $54 to $285.

Too few clinicians listed under Dentist in Cleburne have Medicare Part D data for 2024 to compare.

5 active clinicians are listed under Dentist with a practice address in Cleburne, TX (6,580 in Texas).

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

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $25.44.

Manufacturer Payment Nature Product Type Amount ($)
Envista Holdings Corporation
Food and Beverage
In-kind items and services
HARMONIZE General $25.44

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 50 341 $123.59 42
Ibuprofen Ibuprofen 48 282 $154.88 37

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES TX 29792

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.

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: Texas Medical Board.
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

ORDER AND REFERRING ONLY - GENERAL PRACTICE

Medicare Enrollment ID

I20170215001422

Enrollment State Jurisdiction

TX

PECOS Control ID

2668755711

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Secondary Practice Locations

310 Harmony Hill Rd

Grapevine, TX 760511134

Phone: 2672102725

126 N International Rd Ste A

Garland, TX 750426515

Phone: 9722727944

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 26, 2021

Registered at 1607 W HENDERSON ST STE K, CLEBURNE, TX 760334179 (Tel: 8175223166)

📍
Updated Business Mailing Address June 25, 2021

Registered at 1607 W HENDERSON ST STE #K, CLEBURNE, TX 76033 (Tel: 8175223166)

👤
Provider Name / Credentials Updated June 25, 2021

Recorded as JIN PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Dentist (license number reported to NPPES: TX 29792)

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NPI Profile Active July 13, 2010

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 13, 2010

Registered at 4 S 4TH ST, READING, PA 196022820 (Tel: 6103759501)

📍
Business Mailing Address (Initial Record) July 13, 2010

Registered at 4 S 4TH ST, READING, PA 196022820

👤
Provider Name / Credentials (Initial Record) July 13, 2010

Recorded as JIN PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2010

Dentist (license number reported to NPPES: PA DS038279)

🟢
Initial NPI Registration & Enumeration July 13, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992017461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2010
Last Update: October 27, 2021
Sole Proprietor: No

Mailing Address

1607 W Henderson St Ste #k

Cleburne, TX 76033

Phone: 8175223166

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.