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Dr. Joseph Park , DDS

Dentist - General Practice β€’ Georgetown, TX

Active NPI 1699916585 Individual Practitioner Male Practitioner
Practice location in NPPES

2411 Williams Dr Ste 111
Georgetown, TX 786283268

Call 8778005722 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

2411 Williams Dr Ste 111

Georgetown, TX 786283268

Telephone 8778005722
Fax 5128641447
Organization at the Same NPPES Address or Phone
Lone Star Circle Of Care Facility NPI 1043633308

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 3 distinct additional practice-address records in Bastrop, TX; Marble Falls, TX; Round Rock, 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.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.25 in 2023

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 2023.

Guide: How to read an Open Payments record

NPI first issued

2009

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, 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

Compared with the same specialty in Georgetown and Texas

50 active clinicians are listed under Dentist - General Practice with a practice address in Georgetown, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Georgetown

2% of these 50 clinicians have the CMS telehealth indicator.

0% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2023

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $21.25.

Manufacturer Payment Nature Product Type Amount ($)
Straumann USA LLC
Debt forgiveness
Cash or cash equivalent
β€” General $21.25

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 28680

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.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WA DE60056279

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

Secondary Practice Locations

2120 N Mays St Ste 430

Round Rock, TX 786642108

Phone: 8778005722

802 Avenue J

Marble Falls, TX 786545125

Phone: 8778005722

605 Old Austin Hwy

Bastrop, TX 786025034

Phone: 8778005722

Clinicians Sharing This Practice Address or Phone

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

18 listed
Faustin Bahizi

Physician Assistant

NPI 1043826480
Dr. Marisol Carpio-Solis , MD

Obstetrics & Gynecology

NPI 1093772485

Doctor of Medicine (M.D.)

Suneela Cherlopalle

Psychiatry & Neurology - Psychiatry

NPI 1063896124
Dr. Leticia Diaz , MD

Obstetrics & Gynecology

NPI 1073969739

Doctor of Medicine (M.D.)

Vanessa Frassati , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013385624

Advanced Practice Registered Nurse

NPI 1154765691

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (license number reported to NPPES: WA DE60056279)

βœ…
NPI Profile Active August 31, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 31, 2017

Registered at 2411 WILLIAMS DR STE 111, GEORGETOWN, TX 786283268 (Tel: 8778005722)

πŸ“
Updated Business Mailing Address August 31, 2017

Registered at 205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 786266821 (Tel: (512) 686-0207)

πŸ‘€
Provider Name / Credentials Updated August 31, 2017

Recorded as JOSEPH PARK, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2017

Dentist (license number reported to NPPES: WA DE60056279)

βœ…
NPI Profile Active October 14, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 14, 2014

Registered at 2726 E BUSINESS 190, SUITE 112, COPPERAS COVE, TX 765222522 (Tel: 2545423500)

πŸ“
Business Mailing Address (Initial Record) October 14, 2014

Registered at 2726 E BUSINESS 190, STE. 112, COPPERAS COVE, TX 765222522 (Tel: 2545423500)

πŸ‘€
Provider Name / Credentials (Initial Record) October 14, 2014

Recorded as JOSEPH PARK, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2014

Dentist (license number reported to NPPES: TX 28680)

🟒
Initial NPI Registration & Enumeration March 23, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699916585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2009
Last Update: April 24, 2018
Sole Proprietor: Yes

Other Dentist - General Practices in Georgetown

All Dentist - General Practices in Georgetown

Mailing Address

205 E University Ave Ste 200

Georgetown, TX 786266821

Phone: 8778005722

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.