Jaehan Park, DDS
NPI 1265151567ActiveIndividual· Dentist· New Haven, CT
Dentist (DDS) in New Haven, Connecticut, licensed in CT, with an NPI issued in August 2022. Part D covered 168 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1265151567 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Aug 22, 2022 |
| Last updated in NPPES | Aug 25, 2022 |
| Certified by provider | Aug 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 13552 | CT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Enrolled Order and Referring Only - Dentist (CT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 168 · 168 30-day fills |
|---|---|
| Patients | 62 |
| Total drug cost | $575.19 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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