Active NPI
Andrew Park
- Dentist
- Silver Spring, MD
National Provider Identifier
1790473205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18284
- Practice address
- 11016 New Hampshire Ave
Silver Spring, MD 20904-2602 - Phone
- (301) 838-4291
- NPI assigned
- Apr 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18284 | MD | Primary |
Addresses
Primary practice location
11016 New Hampshire Ave
Silver Spring, MD 20904-2602
Mailing address
850 Festival St Apt 711
Rockville, MD 20852-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18284 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1790473205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 FESTIVAL ST APT 711",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11016 NEW HAMPSHIRE AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042602",
"telephone_number": "301-838-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.