Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Chan J. Park, MD

Surgery Physician in Vermillion, SD · enumerated 2006.

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

National Provider Identifier

1306894332

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Registry record

Entity type Individual (Type 1)

Name Dr. Chan J. Park

Credential MD

Sex Male

Practice address 20 S Plum St, Vermillion, SD, 57069

Phone (605) 624-9111

Fax (605) 624-6636

Enumeration date May 4, 2006

Last updated in NPPES Sep 12, 2013

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 5009 (SD) Primary

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

Other identifiers

Identifier	Type	State	Issuer
7301822	Medicaid	SD	-

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

What specialty is Chan Park?

Chan Park is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-12.