Active NPI
Luke C. Park, D.D.S.
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1871799650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60230309
- Practice address
- 3255 California Ave SW
Seattle, WA 98116-3304 - Phone
- (206) 935-0100
- Fax
- (206) 935-1300
- NPI assigned
- Jun 26, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60230309 | WA | Primary |
Addresses
Primary practice location
3255 California Ave SW
Seattle, WA 98116-3304
Mailing address
3255 California Ave SW
Seattle, WA 98116-3304
Phone (206) 935-0100
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 |
|---|---|---|---|
| DE60230309 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park & Smith, PLLC | Past | Accepting new patients | |
| Hilton Dee Herrin D.D.S. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Seattle, WA
- NPI 1649118308
-
- Dentist
- Seattle, WA
- NPI 1851736136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1871799650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981163304",
"telephone_number": "206-935-0100",
"fax_number": "206-935-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981163304",
"telephone_number": "206-935-0100",
"fax_number": "206-935-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "LUKE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60230309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.