James Park, DDS

NPI: 1104971704

James Park, DDS

Q: What is James Park's NPI number?

James Park's NPI number is 1104971704, a unique 10-digit identifier issued by CMS.

Q: What does James Park specialize in?

James Park specializes in Dentistry, taxonomy code 1223G0001X.

Q: Where does James Park practice?

James Park practices in Chino Hills, CA 91709.

Q: When was James Park's NPI issued?

James Park's NPI was issued on January 24, 2007.

Q: What is James Park's provider type?

James Park is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDentistry

NPI issued: January 24, 2007

Quick Facts

NPI Number

1104971704

TypeIndividual

StatusActive

SpecialtyDentistry

Taxonomy1223G0001X — Dentistry

Phone

(909) 464-2682

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104971704)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (January 24, 2007)

Data source: CMS NPPES

Provider Overview

JAMES PARK, DDS is a Dentistry provider based in Chino Hills, CA who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104971704

Provider TypeIndividual Provider

GenderMale

CredentialDDS

StatusActive

Enumeration DateJanuary 24, 2007

Practice Location

CityChino Hills

StateCA

ZIP Code91709

Phone(909) 464-2682

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code1223G0001X

License StateCA

Mailing Address

CityChino Hills

StateCA

ZIP Code91709

Phone(909) 464-2682

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104971704 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104971704for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104971704 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

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