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Dr. Si-Eun Park , DMD

Dentist - General Practice β€’ Alexandria, VA

Active NPI 1710545637 Individual Practitioner Female Practitioner
Practice location in NPPES

1600 Duke St Ste 150
Alexandria, VA 223146122

Call 7032761110 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

1600 Duke St Ste 150

Alexandria, VA 223146122

Telephone 7032761110
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Akron, OH. 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

11 standardized 30-day fills in 2021

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

$44 in 2021

The total cost of these prescriptions in 2021, 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, 2021.

Industry payments (Open Payments)

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

Guide: How to read an Open Payments record

NPI first issued

2019

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alexandria and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Park are from 2021.

133 active clinicians are listed under Dentist - General Practice with a practice address in Alexandria, VA (3,381 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Alexandria

0% of these 133 clinicians have the CMS telehealth indicator.

0% of these 133 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D Β· Data Year 2021
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 11 77 $43.63 11

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES VA 0401418414

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.

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: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

525 E Market St

Akron, OH 443041619

Phone: 3303756262

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location July 22, 2026

Registered at 1600 DUKE ST STE 150, ALEXANDRIA, VA 223146122 (Tel: 7032761110)

πŸ“
Updated Business Mailing Address July 22, 2026

Registered at 4060 GATEWAY DR APT 5507, FAIRFAX, VA 220305062 (Tel: 3306313238)

🏒
Secondary Practice Location Registered July 22, 2026

Additional practice office at 525 E Market St, Akron, OH 443041619

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2026

Dentist (license number reported to NPPES: VA 0401418414)

πŸ“
Updated Practice Location September 01, 2020

Registered at 4050 BARRANCA PKWY STE 100, IRVINE, CA 926041725 (Tel: 9498613131)

πŸ“
Updated Business Mailing Address September 01, 2020

Registered at 1374 SYNERGY, IRVINE, CA 926140160 (Tel: 3306313238)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Dentist (license number reported to NPPES: CA 105315)

βœ…
NPI Profile Active June 05, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 05, 2019

Registered at 525 E MARKET ST, AKRON, OH 443041619 (Tel: 3303756262)

πŸ“
Business Mailing Address (Initial Record) June 05, 2019

Registered at 401 S MAIN ST # 414A, AKRON, OH 443111111 (Tel: 2164965041)

πŸ‘€
Provider Name / Credentials (Initial Record) June 05, 2019

Recorded as SI-EUN PARK, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 05, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710545637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2019
Last Update: July 22, 2026
Sole Proprietor: No

Other Dentist - General Practices in Alexandria

All Dentist - General Practices in Alexandria

Mailing Address

4060 Gateway Dr Apt 5507

Fairfax, VA 220305062

Phone: 3306313238

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.