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NPI · 1861494791 · NPPES-sourced

Dr. Ian Park DDS

ActiveGeneral Practice Dentistry
NPI Number
1861494791
Type 1 · Individual
Taxonomy Code
1223G0001X
Contact
(925) 474-8114
License MN · 9986
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2005-08-11
Primary practice addressMN · 55345-4145
17705 Hutchins Dr, Suite 209Minnetonka, MN 55345-4145
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About this NPIWhat this record shows.

NPI 1861494791 is registered to Dr. Ian Park DDS, a General Practice Dentistry practising at 17705 Hutchins Dr, Suite 209 in Minnetonka, Minnesota. General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Ian Park DDS has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-08-11
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

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 Dr. Ian Park DDS accepts. To confirm in-network status with your specific health plan, contact Dr. Ian Park DDS directly at (925) 474-8114.

Frequently asked

Yes. NPI 1861494791 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry 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 (925) 474-8114.

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. Dr. Ian Park DDS is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223G0001X
Last updated2007-07
Enumerated2005-08-11
StatusActive
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