Rodney K. Park, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RODNEY K. PARK, DDS, INC.

Doing business as

Rodney K. Park, DDS

Practice address

6070 Hellyer Ave Ste 100
San Jose, CA 95138-1048

Phone

(408) 224-7878

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Bella Zaritsky

Title

Director

Phone

(480) 590-3396

Specialties & licenses 1

Addresses

Other names 1

• Rodney K. Park, DDS Doing business as

Locations

Practitioners 2

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

• Brenden Park

  • Dentist
  • San Jose, CA
  • NPI 1740035278
  NPD
• Rodney Kim Park, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1144428194
  NPD (past)

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1083448633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 HELLYER AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381048",
            "telephone_number": "408-224-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 HELLYER AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381048",
            "telephone_number": "408-224-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY K. PARK, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-590-3396"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodney K. Park, DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rodney K. Park, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kacey Rodenbush
• Roderick Hempt & Ralph Stanley, DDS, Inc. (Hillsdale Dental Group)
• Sylvia Rodezno
• Devondra Marie Rodgers
• Harold Allen Rodgers, MD
• Rui Albert Rodrigues Jr.
• Edwin Antonio Rodriguez Avila, BCBA
• Maria A. Rodriguez Ballestas, M.D.
• Lesli Adelaida Rodriguez Lizaola
• Roxana Rodriguez Lopez

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.