Ho,Nguyen,Park Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

47545 Issued in CA

Legal business name

HO,NGUYEN,PARK DENTAL CORPORATION

Practice address

4710 La Sierra Ave
Riverside, CA 92505-2777

Phone

(951) 324-8180

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jim Park

Title

DDS/Ceo Owner

Phone

(951) 324-8180

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1225374648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 LA SIERRA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 LA SIERRA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052777",
            "telephone_number": "951-324-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HO,NGUYEN,PARK DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DDS/CEO OWNER",
        "authorized_official_telephone_number": "951-324-8180",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ho
• Pamela Diem Chau Ho, LVN
• Timothy Davis Ho
• Tony Ho
• Vanessa Ho, MD
• Hoang Minh Nguyen, DDS, Inc.
• Alice P Hoang, PHARM D.
• Catherine Diemphuc Hoang, MD
• Cathy Hoang
• Dieu Hoang

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.