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Joseph Park, D.M.D.

NPI 1013399484ActiveIndividual· Dentist, General Practice· Clovis, NM

Dentist, General Practice (D.M.D.) in Clovis, New Mexico, licensed in NM, with an NPI issued in June 2015. Part D covered 106 prescriptions written in 2024, 100% of them generic.

Overview

NPI1013399484
StatusActive
Entity typeIndividual
CredentialD.M.D.
Sole proprietorNo
NPI issuedJun 22, 2015
Last updated in NPPESJun 22, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XDD4317NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dentist (NM)

Part D prescriptions in 2024

Prescriptions (claims)106 · 106 30-day fills
Patients49
Total drug cost$499.14
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist, General Practice providers in Clovis

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