Jae W. Park, DDS
NPI 1144232968ActiveIndividual· Dentist· Christiansburg, VA
Dentist (DDS) in Christiansburg, Virginia, licensed in VA, with an NPI issued in August 2006. Part D covered 92 prescriptions written in 2024, 99% of them generic. Ultradent Products Inc reported $36.43 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1144232968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Aug 12, 2006 |
| Last updated in NPPES | Jun 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 0401414774 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (VA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 92 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $162.70 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2024$36.43 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $36.43 | 1 |
What the 2024 payments were for
- Food and Beverage$36.43 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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