Organization Active NPI

Bin H. Park D.D.S. Inc.

  • Dental Clinic/Center
  • Corona, CA
National Provider Identifier
1871743831
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
42869 Issued in CA
Legal business name
BIN H. PARK D.D.S. INC.
Practice address
782 N Main St
Suite E
Corona, CA 92880-1403
Phone
(951) 735-7410
Fax
(951) 898-5650
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Dr. Bin Ho Park, D.D.S.NPI 1457498230
Title
President
Phone
(951) 735-7410

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
Dental Clinic/Center 261QD0000X 42869 CA Primary

Addresses

Primary practice location

782 N Main St
Suite E
Corona, CA 92880-1403

Mailing address

782 N Main St
Suite E
Corona, CA 92880-1403
Phone (951) 735-7410

National Provider Directory

National Provider Directory

Locations

782 N Main St
Ste E
Corona, CA 92878
Phone (951) 735-7410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1871743831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 N MAIN ST",
            "address_2": "SUITE E",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928801403",
            "telephone_number": "951-735-7410",
            "fax_number": "951-898-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 N MAIN ST",
            "address_2": "SUITE E",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928801403",
            "telephone_number": "951-735-7410",
            "fax_number": "951-898-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIN H. PARK D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BIN",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-735-7410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "42869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.