Christie Park

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101734 Issued in CA

Practice address

303 S Glenoaks Blvd Ste 12
Burbank, CA 91502

Phone

(818) 846-2854

NPI assigned

Apr 27, 2016

Last updated

Dec 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christie H. Park, DDS, Inc.

  • Dental Clinic/Center
  • Burbank, CA
  • NPI 1205596244
  NPD Authorized official

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1659726636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD STE 12",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD STE 12",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-846-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHRISTIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Parantar, PT
• Katherine Paredes, D.P.T.
• Rene Paredes
• Paresh N Varu M D Inc
• Manisha Parikh, LCSW
• Eun Kyung Park, GNP
• Joseph Park, DPM
• Patti J Park, LCSW
• Scott Park
• Wonsun Park

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; 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.