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NPI · 1912116104 · NPPES-sourced

Dr. Jim Park D.D.S

ActiveDentist
NPI Number
1912116104
Type 1 · Individual
Taxonomy Code
122300000X
Contact
(951) 324-8180
License CA · 47545
Last Updated
Enumerated
Primary practice addressCA · 92505-2726
4710 La Sierra AveRiverside, CA 92505-2726
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About this NPIWhat this record shows.

NPI 1912116104 is registered to Dr. Jim Park D.D.S, a Dentist practising at 4710 La Sierra Ave in Riverside, California. Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jim Park D.D.S has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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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. Jim Park D.D.S accepts. To confirm in-network status with your specific health plan, contact Dr. Jim Park D.D.S directly at (951) 324-8180.

Frequently asked

Yes. NPI 1912116104 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 (951) 324-8180.

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. Jim Park D.D.S is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy122300000X
Last updated
Enumerated
StatusActive
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