Sherie Park DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

57922 Issued in CA

Legal business name

SHERIE PARK DDS, INC.

Practice address

3663 W 6TH St Ste 110
Los Angeles, CA 90020-3047

Phone

(213) 380-1767

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sherie Park, DDSNPI 1447405030

Title

Owner Dentist

Phone

(213) 380-1767

Specialties & licenses 1

Addresses

Other names 1

• sherie park dental, inc Doing business as

Locations

Practitioners 2

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

• Sherie Sohyun Park, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1447405030
  NPD (past) Authorized official
• Won Bo Park, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1528139623
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1760906887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203047",
            "telephone_number": "213-380-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203047",
            "telephone_number": "213-380-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIE PARK DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "213-380-1767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sherie park dental, inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "sherie park dental, inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Sheridan
• Keegan Ford Sheridan, N.D.
• Kelly Sheridan, AMFT
• Lois Ann Sheridan
• Monay Sheridan
• Swanzetta Sheriff-Saunders, LPCC, PSYD
• Rayven Sherley, MS
• Sherman a. Robins, MD., Inc.
• Sherman P Rosove, MD, a Professional
• Alexander Sherman, M.D.

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.