D Park Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

53724 Issued in CA

Legal business name

D PARK DENTAL CORPORATION

Practice address

12065 Orange St
Norwalk, CA 90650-4130

Phone

(562) 584-4288

Fax

(562) 584-4488

NPI assigned

Dec 11, 2013

Organization subpart

No

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

Authorized official

Name

David S Park, DDS

Title

Owner

Phone

(562) 584-4288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Norwalk Dental Group Doing business as

Practitioners 1

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

• Sung Min Lim, DDS

  • Dentist
  • Norwalk, CA
  • NPI 1043760598
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1134550403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12065 ORANGE ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504130",
            "telephone_number": "562-584-4288",
            "fax_number": "562-584-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 ORANGE ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504130",
            "telephone_number": "562-584-4288",
            "fax_number": "562-584-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D PARK DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-584-4288",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53724",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwalk Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Cuenca
• Dinh Dinh Cung, PHARM. D, BCPP
• Terrell Ormond Curl Sr., PSYCH TECH
• Cynob Pharmacy LLC
• Cyrus Khalili Chiropractic Corporation
• Angelica D'Agostino, OTR/L
• Shima Daftarian
• Geena Dagala, NP
• Jacob Alexander Dahneke I
• Ivan Dalton

• Dentist in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.