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NPI · 1508310673 · NPPES-sourced

Ellen Park DDS

ActiveDentist
NPI Number
1508310673
Type 1 · Individual
Taxonomy Code
122300000X
Contact
(909) 798-5010
License CA · 100651
Last Updated
About 9 years ago (Aug 2016)
Enumerated 2016-08-06
Primary practice addressCA · 92373-8059
620 Alabama StRedlands, CA 92373-8059
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About this NPIWhat this record shows.

NPI 1508310673 is registered to Ellen Park DDS, a Dentist practising at 620 Alabama St in Redlands, California. Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ellen Park DDS has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2016-08-06
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ellen Park DDS accepts. To confirm in-network status with your specific health plan, contact Ellen Park DDS directly at (909) 798-5010.

Frequently asked

Yes. NPI 1508310673 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (909) 798-5010.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ellen Park DDS is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy122300000X
Last updated2016-08
Enumerated2016-08-06
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Dentist providers in California.

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