Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Daniel Jun Park, M.D.

Pediatrics Physician in Tyler, TX · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063875292

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Daniel Jun Park

Credential M.D.

Sex Male

Practice address 8288 S Broadway Ave, Tyler, TX, 75703

Phone (903) 606-7060

Fax (903) 606-7129

Enumeration date Apr 4, 2016

Last updated in NPPES Mar 17, 2026

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License S0046 (TX) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Daniel Park's NPI record?

Cross-check NPI 1063875292 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1063875292 active?

Yes, as of the latest NPPES snapshot, NPI 1063875292 is active (record last updated 2026-03-17).

Other providers at this practice address

Browse all →

John Page Family Medicine Physician · Tyler, TX NPI 1376549246 Kent Davis Geriatric Medicine (Internal Medicine) Physician · Tyler, TX NPI 1548259179 Mark Barret Pediatrics Physician · Tyler, TX NPI 1659341055 Catherine Giordano Pediatric Nurse Practitioner · Tyler, TX NPI 1952373987 John Scroggins Family Medicine Physician · Tyler, TX NPI 1003881608 Kimberly Eakin Wegener Internal Medicine Physician · Tyler, TX NPI 1750344966 Roy Wadle Family Medicine Physician · Tyler, TX NPI 1194743278 Kurt Nielsen Emergency Medicine Physician · Tyler, TX NPI 1235275314

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-17.