Kyung Wook Park, DDS
NPI 1669518676ActiveIndividual· Dentist, General Practice· Ashburn, VA
Dentist, General Practice (DDS) in Ashburn, Virginia, licensed in NY and VA, with an NPI issued in January 2007. Part D covered 30 prescriptions written in 2024, 90% of them generic.
Overview
| NPI | 1669518676 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jan 29, 2007 |
| Last updated in NPPES | Jun 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 051203 | NY |
| Dentist, General Practice | 1223G0001X | 0401411803 | 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) | Enrolled Order and Referring Only - Dentist (VA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 30 · 32 30-day fills |
|---|---|
| Total drug cost | $90.76 |
| Generic share | 90% 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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All 51 general dentists in Ashburn · All general dentists in Virginia