Doctor profile · Federal record
Dr. Jake Park, DDS
Dentist · Dentist · Bellevue, WA
- NPI 1427203868
- 18 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12832 Se 40Th Ln, Ste 201
Bellevue, WA 980061241
(425) 636-8432 - Mailing address
-
18707 Se Newport Way
Issaquah, WA 980279087
Credentials & registration
- NPI registered
- November 2008 — 18 yrs on file
- Profile last updated
- August 4, 2014
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Washington #DE 00011037 · California #56979
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1427203868. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$164
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 1 | $147.16 | |
| Philips North America LLC | 1 | $16.68 |
By nature of payment
Frequently asked questions
What is Dr. Jake Park's medical specialty?
Dr. Jake Park practices Dentist in Bellevue, WA.
Where does Dr. Jake Park practice?
Dr. Jake Park practices at 12832 Se 40Th Ln, Bellevue, WA 980061241. Office phone: 4256368432.
What is Dr. Jake Park's NPI?
Dr. Jake Park's National Provider Identifier (NPI) is 1427203868, issued by NPPES.