Jin H Park DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

58022 Issued in CA

Legal business name

JIN H PARK DDS INC

Practice address

9295 Magnolia Ave Ste 103
Riverside, CA 92503-3800

Phone

(951) 354-2000

Fax

(951) 354-0029

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jin Hwi Park, DDSNPI 1164552246

Title

President

Phone

(951) 354-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jin Hwi Park, DDS

  • Dentist
  • Riverside, CA
  • NPI 1164552246
  NPD (past) Authorized official
• Seong Kyoo Cho, D.D.S.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1629196910
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1265873749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 MAGNOLIA AVE STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033800",
            "telephone_number": "951-354-2000",
            "fax_number": "951-354-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 MAGNOLIA AVE STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033800",
            "telephone_number": "951-354-2000",
            "fax_number": "951-354-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN H PARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "HWI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-354-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Jimenez
• Vanessa Jimenez
• Virginia Jimenez, MSW
• Jeanette Jimerson
• Jimmy Nguyen D.D.S., Inc (Melody Dental Care)
• Jane Jin, NONE
• Ji Sung Jin
• Lizhong Jin
• Sung Jin, PHARMD
• Prateek Jindal, DO

• Dental Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.