Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Hae Duk Park, D.M.D.

General Practice Dentistry in Manassas, VA · enumerated 2006 · practices at Nova Occupational Health Inc.

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

National Provider Identifier

1174607832

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Registry record

Entity type Individual (Type 1)

Name Dr. Hae Duk Park

Credential D.M.D.

Sex Male

Practice address Manassas, VA, 20110

Phone (703) 368-8166

Fax (703) 368-8624

Enumeration date Oct 25, 2006

Last updated in NPPES Mar 7, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 0401410598 (VA) Primary

DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Other identifiers

Identifier	Type	State	Issuer
0401410598	Other	VA	VA DENTAL LIC#
1745319	Other	PA	UNITED CONCORDIA INS.ID
178830	Other	VA	ANTHEM BCBS ID #

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.

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Frequently asked questions

How do I verify Hae Park's NPI record?

Cross-check NPI 1174607832 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1174607832 active?

Yes, as of the latest NPPES snapshot, NPI 1174607832 is active (record last updated 2023-03-07).

Other providers at this practice address

Browse all →

Nova Occupational Health Inc Occupational Medicine Physician · Manassas, VA NPI 1679836746 April Brittain Adult Health Nurse Practitioner · Manassas, VA NPI 1518208602

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.