DR. ROBERT K PARK (NPI# 1477639375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477639375 |
| Entity Type | Individual |
| Full Name | DR. ROBERT K PARK |
| Credential | D.D.S. |
| Practice Address |
12374 Carmel Country Rd #209 San Diego CA 92130-4523 |
| Practice Telephone | 7573752501 |
| Mailing Telephone | 7573752501 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 56454 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DE00010877 | WA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS035993 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497701353 | Robert Park | Optometrist | 3385 Woodward Crossing Blvd, Suite 350, Buford, GA 30519-4947 | 2006-05-25 |
| 1083617633 | Robert Park | Obstetrics & Gynecology | 2177 Marylwood Ct, West Linn, OR 97068-1434 | 2005-05-27 |
| 1326525866 | Robert W Park | Counselor | 5757 Woodway Dr Ste 110, Houston, TX 77057-1506 | 2018-07-27 |
| 1871957597 | Robert Y. Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Suite 220, Philadelphia, PA 19107-4414 | 2016-04-08 |
| 1457680407 | Robert Eoin Park | Internal Medicine | 3400 Spruce St, 210 White, Philadelphia, PA 19104-4206 | 2009-12-21 |
| 1578749610 | Robert Park | Dentist | 4220 W 3rd St, Ste 202, Los Angeles, CA 90020-3450 | 2008-01-19 |
| 1063611747 | Robert D Park | Dentist | 9727 Greenside Dr, Cockeysville, MD 21030-5030 | 2007-07-13 |
| 1255471579 | Robert E Park | Chiropractor | 174 W Parrish Ln, Centerville, UT 84014-1821 | 2007-02-07 |
| 1053472605 | Robert Phil Park | Psychologist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2006-12-13 |
| 1942371851 | Robert J. Park | Internal Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| Street Address |
12374 CARMEL COUNTRY RD #209 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048409 | Sara Siraj | Dentist | 7720 Tyrolean Rd, San Diego, CA 92126-1029 | 2020-09-22 |
| 1639785306 | Brittany Jordan Noris | Dentist | 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 | 2020-09-18 |
| 1437761475 | Pouya Parsa | Dentist | 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 | 2020-08-20 |
| 1366060808 | Azadeh Khajavi | Dentist | 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 | 2020-07-10 |
| 1871127456 | Sandhya Ramanujam | Dentist | 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 | 2020-02-23 |
| 1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
| 1770133977 | Jeffrey Leland Elmer | Dentist | 2310 Craven St Unit 3210, San Diego, CA 92136-5596 | 2019-09-19 |
| 1609429273 | Navya Jampala | Dentist | 10891 Creekbridge Pl, San Diego, CA 92128-5108 | 2019-07-22 |
| 1619529229 | Calli Ann Marando | Dentist | 2310 Craven St # 3230, San Diego, CA 92136-5596 | 2019-07-13 |
| 1669024428 | Bolivia Pereira Hurtado | Dentist | 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 | 2019-07-11 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on DR. ROBERT K PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.