ELLEN PARK (NPI# 1508310673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 100651 | CA | Dental Providers |
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 |
Street Address |
620 ALABAMA ST |
City | REDLANDS |
State | CA |
Zip Code | 92373-8059 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.