Organization Active NPI

Myung Kee Park DDS Inc

Doing business as Moreno Beach Dental

  • Dental Clinic/Center
  • Moreno Valley, CA
National Provider Identifier
1255100020
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MYUNG KEE PARK DDS INC
Doing business as
Moreno Beach Dental
Practice address
14435 Moreno Beach Dr Ste 108
Moreno Valley, CA 92555-8706
Phone
(951) 247-6000
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Dr. Myung Kee Park, DDSNPI 1154847234
Title
Ceo
Phone
(951) 247-6000

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

14435 Moreno Beach Dr Ste 108
Moreno Valley, CA 92555-8706

Mailing address

14435 Moreno Beach Dr Ste 108
Moreno Valley, CA 92555-8706
Phone (951) 247-6000

Other names 1

  • Moreno Beach Dental Doing business as

National Provider Directory

National Provider Directory

Locations

14435 Moreno Beach Dr
Ste 108
Moreno Valley, CA 92555
Phone (951) 247-6000

Practitioners & affiliated clinicians

Practitioners 2

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1255100020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 MORENO BEACH DR STE 108",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925558706",
            "telephone_number": "951-247-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 MORENO BEACH DR STE 108",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925558706",
            "telephone_number": "951-247-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYUNG KEE PARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MYUNG KEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-247-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreno Beach Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.