ELLEN PARK


Address: 620 Alabama St, Redlands, CA 92373-8059
Phone: 9097985010

ELLEN PARK (NPI# 1508310673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508310673
Entity Type Individual
Full Name ELLEN PARK
Credential DDS
Practice Address 620 Alabama St
Redlands
CA 92373-8059
Practice Telephone 9097985010
Mailing Telephone 9097985010
Enumeration Date 2016-08-06
Last Update Date 2016-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 100651 CA Dental Providers

Other Providers ELLEN PARK

NPI Name Taxonomy Address Enumeration
1740892645 Ellen Park Occupational Therapist 3148 W 11th St, Los Angeles, CA 90006-2322 2020-08-20
1528313863 Ellen Miyoung Park Counselor 3261 Ne 100th St, Seattle, WA 98125-7816 2012-07-23
1821327826 Ellen Jung Park Occupational Therapist 14119 Deerbrook Ln, Chino Hills, CA 91709-4807 2009-12-22
1174090179 Ellen Sunghee Park Pharmacist 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 2018-10-28
1619475043 Ellen Park Occupational Therapist 3350 La Jolla Village Dr, San Diego, CA 92161-0002 2018-01-31
1922559442 Ellen Sae Eun Park Nurse Practitioner 2232 Sepulveda Blvd, Torrance, CA 90501-5301 2016-10-19
1568712362 Ellen Park Optometrist 1689 Arden Way, Sacramento, CA 95815-4030 2012-09-19
1801057732 Ellen Jiwon Park Anesthesiology 1500 San Pablo St, 4th Floor Anes, Los Angeles, CA 90033-5313 2008-06-23
1619075413 Ellen Park Student in an Organized Health Care Education/Training Program 625 Elmwood Ave, Box 683, Rochester, NY 14620-2913 2006-09-20
1821104191 Ellen S Park Radiology 9500 Euclid Ave, Cleveland, OH 44195-0001 2006-08-21

Office Location

Street Address 620 ALABAMA ST
City REDLANDS
State CA
Zip Code 92373-8059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861484222 Ernest Elias Gallegos Jr. Chiropractor 620 Alabama St, Redlands, CA 92373-8059 2005-08-22
1215499181 Mario Andres Chavez Chiropractor 620 Alabama St, Redlands, CA 92373-8059 2019-04-01
1679939730 Daniel Lee Mendez Chiropractor 620 Alabama St, Redlands, CA 92373-8059 2016-01-05
1720480189 Gerrit Lee Wagner Chiropractor 620 Alabama St, Redlands, CA 92373-8059 2014-09-17
1609135516 Ban Ngoc Nguyen Acupuncturist 620 Alabama St, Redlands, CA 92373-8059 2012-05-11
1083890917 Sang Eun Lee D.d.s. Inc. Dentist 620 Alabama St, Redlands, CA 92373-8059 2008-01-10
1407973506 Kenny Guanyiing Cherng Acupuncturist 620 Alabama St, Redlands, CA 92373-8059 2007-03-23
1336265362 Phillips-white Chiropractic Corporation Chiropractor 620 Alabama St, Redlands, CA 92373-8059 2007-03-21
1174674089 Jeffrey Phillips Chiropractor 620 Alabama St, Redlands, CA 92373-8059 2007-01-16
1538210950 Jeanette Pena Chiropractor 620 Alabama St, Redlands, CA 92373-8059 2007-01-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508473422 Mindfulness Counseling Services Marriage & Family Therapist 101 E. Redlands, Suite 170a, Redlands, CA 92373 2020-09-24
1710596721 Vandna Mittal Counselor 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 2020-07-26
1164062345 Sara Bencoe Nurse Practitioner 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 2020-01-15
1033604103 John Duane Wuchenich Anesthesiology 451 Summit Avenue, Redlands, CA 92373 2018-06-29
1013401074 Adept Hospice Care Hospice Care, Community Based 515 New Jersey St., Suite G, Redlands, CA 92373 2018-06-21
1134616121 Rodrigo Robles Student in an Organized Health Care Education/Training Program 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 2018-04-16
1760987614 Redlands Endodontics Dentist 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 2018-03-23
1487164166 Tyler Stafford Behavioral Analyst 1467 Ford St. Suite 104, Redlands, CA 92373 2017-10-06
1083131486 Shannon Palmowski Behavioral Analyst Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 2017-08-25
1275062622 Erim Sarbuland Marriage & Family Therapist 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 2017-06-08
Find all providers in zip 92373

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891307625 Faezeh Alidousti Shahraki I Dentist 1990 Clementine St, Redlands, CA 92374-1615 2020-08-21
1124651906 Jane Minjee Kim Dentist 1601 Barton Rd Apt 4114, Redlands, CA 92373-5371 2020-02-19
1912550021 Henry Kim Dentist 26200 Redlands Blvd Apt 184, Redlands, CA 92373-7792 2019-07-17
1831684323 Sanaz Khaleghi Dentist 11 Tennessee St Apt 113, Redlands, CA 92373-5421 2018-06-27
1437644143 Lina Aljanabi Dentist 1601 Barton Rd Apt 906, Redlands, CA 92373-4392 2018-06-25
1720518624 Houda T Naayem Dentist 27000 W Lugonia Ave Apt 8104, Redlands, CA 92374-2089 2017-06-14
1326575739 Nora Al-faysale Dentist 1601 Barton Rd Apt 1703, Redlands, CA 92373-5342 2017-05-16
1528595972 Martha Valenzuela Senar Dentist 26630 Barton Rd Apt 1113, Redlands, CA 92373-4326 2017-05-16
1730621418 David Toksoy Dentist 11554 Terracina Blvd, Redlands, CA 92373-4853 2016-11-10
1114376126 Epifania V Nicolas Dentist 414 Tenneese St, Redlands, CA 92373-8126 2016-06-09
Find all providers in REDLANDS

Competitor

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City REDLANDS
Zip Code 92373

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Dataset Information

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.

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