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Si-Woon Park, DDS

NPI 1770770786ActiveIndividual· Dentist, Prosthodontics· Vienna, VA

Dentist, Prosthodontics (DDS) in Vienna, Virginia, licensed in VA, with an NPI issued in October 2007. Part D covered 90 prescriptions written in 2024, 93% of them generic. A-Dec, Inc. reported $40.00 in payments in 2025, mostly gifts.

Overview

NPI1770770786
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedOct 3, 2007
Last updated in NPPESOct 3, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700X0401410858VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No 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)90 · 90 30-day fills
Patients47
Total drug cost$255.95
Generic share93% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$40.00 · 2 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
A-Dec, Inc.$40.002

What the 2025 payments were for

  • Gift$40.00 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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