Charles Park, DDS

NPI: 1639140023

Charles Park, DDS

Q: What is Charles Park's NPI number?

Charles Park's NPI number is 1639140023, a unique 10-digit identifier issued by CMS.

Q: What does Charles Park specialize in?

Charles Park specializes in Dentistry, taxonomy code 122300000X.

Q: Where does Charles Park practice?

Charles Park practices in Fairfax, VA 22030-8158.

Q: When was Charles Park's NPI issued?

Charles Park's NPI was issued on February 1, 2006.

Q: What is Charles Park's provider type?

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

ActiveIndividual ProviderDentistry

NPI issued: February 1, 2006

Quick Facts

NPI Number

1639140023

TypeIndividual

StatusActive

SpecialtyDentistry

Taxonomy122300000X — Dentistry

Phone

(703) 828-6630

StateVA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1639140023)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (February 1, 2006)

Data source: CMS NPPES

Provider Overview

CHARLES PARK, DDS is a Dentistry provider based in Fairfax, VA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1639140023

Provider TypeIndividual Provider

GenderMale

CredentialDDS

StatusActive

Enumeration DateFebruary 1, 2006

Practice Location

CityFairfax

StateVA

ZIP Code22030-8158

Phone(703) 828-6630

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code122300000X

License StateVA

Mailing Address

CityFairfax

StateVA

ZIP Code22030-8158

Phone(703) 828-6630

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1639140023 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 1639140023for 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 1639140023 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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