Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jongbae Jay Park, KMD, PHD, LAC

Individual provider Acupuncturist · NPI 1194987792

Dr. Jongbae Jay Park, KMD, PHD, LAC is an Acupuncturist in Durham, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1910 Sedwick Rd Ste 400A
Durham, NC 27713-9428
Phone: (919) 813-6636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4822 Six Forks Rd, Raleigh, NC 27609-5269 — (919) 724-9985

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 490 (NC)

Record details

NPI number1194987792
Entity typeIndividual (Type 1)
GenderMale
Credentials KMD , PHD , LAC
Sole proprietorYes
NPI enumeratedJune 26, 2008
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

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