Mindy Park DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MINDY PARK DDS INC

Practice address

8345 Reseda Blvd Ste 101
Northridge, CA 91324-4648

Phone

(818) 576-9990

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mindy ParkNPI 1417257767

Title

Dentist/Owner

Phone

(818) 576-9990

Specialties & licenses 1

Addresses

Practitioners 2

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

• Mindy Park, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Northridge, CA
  • NPI 1417257767
  NPD Authorized official
• Hong Suk Suh, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Northridge, CA
  • NPI 1073643128
  NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1063231090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 RESEDA BLVD STE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244648",
            "telephone_number": "818-576-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 RESEDA BLVD STE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244648",
            "telephone_number": "818-576-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY PARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-576-9990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Air Xpress
• James Min
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• Minas Kochumian, MD, a Medical Corporation (California Medical and Rehabilitation Group)
• Mind Thrive Center LLC
• Minimed Distribution Corp.
• Minimed Distribution Corp.
• Mitra Minovi
• Miracle-Ear, Inc.
• Miracles in Action LLC

• Dental Clinic/Center in Northridge, CA
• Providers in Northridge, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.