Brenden Park

Primary specialty

DentistTaxonomy code 122300000X

License

110209 Issued in CA

Practice address

6070 Hellyer Ave Ste 100
San Jose, CA 95138-1048

Phone

(408) 224-7878

NPI assigned

Apr 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Rodney K. Park, DDS, Inc.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1083448633
  NPD

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1740035278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 HELLYER AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 HELLYER AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381048",
            "telephone_number": "408-224-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "BRENDEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heena A Parikh, M.A.
• Pooja N Parikh, MPT
• Shobha V Parikh, D.M.D.
• Vishal V Parikh, DDS
• Amber Parisie, RD
• Byung-Gook Park, M.D.
• Choo Paul Park, DDS
• Chris Park
• Giwon Park
• Hyun Park, R.N.

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.