Columbus Park Oh Dentist LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COLUMBUS PARK OH DENTIST LLC

Practice address

4401 Cleveland Ave
Columbus, OH 43224-1577

Phone

(651) 444-9644

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Park, DMDNPI 1831614387

Title

Ceo/President

Phone

(443) 759-0910

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ji Hyun Park, DMD

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1831614387
  Authorized official Same address or phone

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1710898150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LITTLE CANADA RD W STE 200",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171446",
            "telephone_number": "651-444-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432241577",
            "telephone_number": "651-444-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PARK OH DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "443-759-0910",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Orthopaedic Group Inc. (The Cardinal Orthopaedic Institute)
• Columbus Orthopaedic Group Inc. (The Cardinal Orthopaedic Institute)
• Columbus Orthopaedic Group Inc. (The Cardinal Orthopaedic Institute)
• Columbus Outpatient Center
• Columbus Outpatient Center (Columbus Outpatient Care Center)
• Columbus Pelvic Floor Physical Therapy, LLC
• Columbus Perfomance High School East
• Columbus Performance Academy
• Columbus Podiatry & Surgery, Inc.
• Columbus Preparatory & Fitness Academy

• Dental Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.