Kwonil Park, DDS
NPI 1740306414ActiveIndividual· Dentist, General Practice· Carrollton, TX
Dentist, General Practice (DDS) in Carrollton, Texas, licensed in TX and IL, with an NPI issued in March 2007. Part D covered 175 prescriptions written in 2024, 87% of them generic.
Overview
| NPI | 1740306414 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Jan 11, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 25071 | TX |
| Dentist | 122300000X | 019026108 | IL |
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) | 175 · 181 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $783.17 |
| Generic share | 87% 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 133 general dentists in Carrollton · All general dentists in Texas