Soonjin Park, DDS
NPI 1194879965ActiveIndividual· Dentist· Reno, NV
Dentist (DDS) in Reno, Nevada, licensed in NV and CA, with an NPI issued in January 2007. Colgate Oral Pharmaceuticals, Inc. reported $78.66 in payments in 2025, mostly education.
Overview
| NPI | 1194879965 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Sep 23, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 5588 | NV |
| Dentist, General Practice | 1223G0001X | 54772 | CA |
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 |
|---|
Industry payments (Open Payments)
- 2025$78.66 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Colgate Oral Pharmaceuticals, Inc. | $78.66 | 2 |
What the 2025 payments were for
- Education$78.66 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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