NPIMap

Organization Active NPI

Christie H. Park, DDS, Inc.

  • Dental Clinic/Center
  • Burbank, CA
National Provider Identifier
1205596244
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHRISTIE H. PARK, DDS, INC.
Practice address
303 S Glenoaks Blvd Ste 12
Burbank, CA 91502-1184
Phone
(818) 846-2854
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Dr. Christie Park, DMDNPI 1659726636
Title
President/Dentist
Phone
(818) 640-7781

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

303 S Glenoaks Blvd Ste 12
Burbank, CA 91502-1184

Mailing address

2503 Janet Lee Dr
La Crescenta, CA 91214-2237

National Provider Directory

National Provider Directory

Locations

303 S Glenoaks Blvd
Ste 12
Burbank, CA 91502
Phone (818) 846-2854

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": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1205596244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 JANET LEE DR",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD STE 12",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021184",
            "telephone_number": "818-846-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE H. PARK, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "818-640-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.