NPI age
9 years
Enumerated 2016-06-21
● Active
Type 1 · Individual
Jin Park
Park is 1 of 5 dentist providers in Killeen and 1 of 935 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 935 active dentist providers in Texas.
NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Practice location
507 W Stan Schlueter Loop Ste 400
Killeen, TX 765426877
Mailing address
1011 E 5th St Apt 1447
Austin, TX 787024065
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1 Medical Center Dr
Morgantown, WV 265061200
Location 3
1400 Pelham Pkwy S
Bronx, NY 104611138
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.