NPIMap

Organization Active NPI

James Park DDS, Inc.

Doing business as Sunny Hills Pediatric Dentistry

  • Pediatric Dentistry
  • Fullerton, CA
National Provider Identifier
1790936060
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JAMES PARK DDS, INC.
Doing business as
Sunny Hills Pediatric Dentistry
Practice address
1950 Sunnycrest Dr
Suite 3300
Fullerton, CA 92835-3638
Phone
(714) 870-6120
Fax
(714) 870-6869
NPI assigned
Oct 6, 2008
Last updated
Mar 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Dr. James Keonuk Park, D.D.S.NPI 1780721852
Title
President
Phone
(714) 870-6120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1950 Sunnycrest Dr
Suite 3300
Fullerton, CA 92835-3638

Mailing address

1950 Sunnycrest Dr
Suite 3300
Fullerton, CA 92835-3638
Phone (714) 870-6120

Other names 2

  • Sunny Hills Pediatric Dentistry Doing business as
  • Chun and Park, D.D.S., INC. Former legal business name

National Provider Directory

National Provider Directory

Locations

1950 Sunny Crest Dr
Ste 3300
Fullerton, CA 92835
Phone (310) 497-2570

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1790936060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR",
            "address_2": "SUITE 3300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353638",
            "telephone_number": "714-870-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR",
            "address_2": "SUITE 3300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353638",
            "telephone_number": "714-870-6120",
            "fax_number": "714-870-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PARK DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEONUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-870-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Hills Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chun and Park, D.D.S., INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.