Dental Practice of Jonah J Park DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL PRACTICE OF JONAH J PARK DDS INC

Practice address

7840 Firestone Blvd Ste 106
Downey, CA 90241-4257

Phone

(562) 923-0997

NPI assigned

Nov 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jonah ParkNPI 1306108410

Title

President

Phone

(917) 902-8466

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.

• Jonah Park

  • General Practice Dentistry
  • Downey, CA
  • NPI 1306108410
  NPD Authorized official
• CHI Boum Kang, D.D.S., F.A.G.D.

  • General Practice Dentistry
  • Downey, CA
  • NPI 1649296112
  NPD (past)

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667001600000",
    "number": "1629546304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 FIRESTONE BLVD STE 106",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414257",
            "telephone_number": "562-923-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 FIRESTONE BLVD STE 106",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414257",
            "telephone_number": "562-923-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PRACTICE OF JONAH J PARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-11",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-902-8466",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deming Care Home
• Kristine Demirchyan, P.T.
• Susan Amaru Demsey, M.S, C.G.C
• Dawnte Dennis
• Dental Office of Downey Inc.
• Derek Wong DDS, Inc
• Amy Derouin
• Hemaxi Desai, DO
• Rashmi Desai, M.D.
• Anika Desar

• Dental Clinic/Center in Downey, CA
• Providers in Downey, 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 Oct 29, 2022; 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.