Active NPI
David H Park, D.D.S.
- Dentist
- Rowland Heights, CA
National Provider Identifier
1265686448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57553
- Practice address
- 3530 Dartmouth LN
Rowland Heights, CA 91748-5135 - Phone
- (626) 733-2498
- NPI assigned
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57553 | CA | Primary |
Addresses
Primary practice location
3530 Dartmouth LN
Rowland Heights, CA 91748-5135
Mailing address
3530 Dartmouth LN
Rowland Heights, CA 91748-5135
Phone (626) 733-2498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57553 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1265686448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 DARTMOUTH LN",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917485135",
"telephone_number": "626-733-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 DARTMOUTH LN",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917485135",
"telephone_number": "626-733-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "DAVID",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-14",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.