NPIMap

Organization Active NPI

Brian Park, DDS, Inc.

  • Dental Clinic/Center
  • Temecula, CA
National Provider Identifier
1033872114
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRIAN PARK, DDS, INC.
Practice address
44066 Margarita Rd Ste 1
Temecula, CA 92592-2779
Phone
(951) 302-6222
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Park, DDSNPI 1497203947
Title
President
Phone
(720) 470-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

44066 Margarita Rd Ste 1
Temecula, CA 92592-2779

Mailing address

44066 Margarita Rd Ste 1
Temecula, CA 92592-2779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1033872114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44066 MARGARITA RD STE 1",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44066 MARGARITA RD STE 1",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922779",
            "telephone_number": "951-302-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN PARK, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-470-3277",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.