Kyeong Man Park, DDS
NPI 1073523387ActiveIndividual· Dentist, General Practice· Virginia Beach, VA
Dentist, General Practice (DDS) in Virginia Beach, Virginia, licensed in VA, with an NPI issued in August 2006. Part D covered 12 prescriptions written in 2024, 100% of them generic. Septodont Inc. reported $54.09 in payments in 2024, mostly speaking and faculty fees.
Overview
| NPI | 1073523387 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Aug 9, 2006 |
| Last updated in NPPES | Oct 19, 2023 |
| Certified by provider | Oct 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 0401411191 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Total drug cost | $25.75 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$54.09 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Septodont Inc. | $54.09 | 1 |
What the 2024 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$54.09 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 293 general dentists in Virginia Beach · All general dentists in Virginia