Heather Park, DDS
NPI 1053967794 · General Practice Dentistry · La Quinta, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Park, DDS is a General Practice Dentistry provider in La Quinta, CA (NPI 1053967794).
Provider details
- NPI number
- 1053967794
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 104291 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-16
- Last updated
- 2019-08-16
Frequently asked questions
- What is Heather Park's NPI number?
- Heather Park's National Provider Identifier (NPI) is 1053967794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Park's specialty?
- Heather Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Heather Park located?
- Heather Park's practice location on file with NPPES is 78595 Highway 111 Ste 300, La Quinta, CA 92253-2084.
- What is Heather Park's phone number?
- The practice phone number listed in the NPPES registry for Heather Park is (760) 771-0300.
- Does Heather Park accept Medicare?
- Heather Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Park's NPI active?
- Yes — Heather Park's NPI (1053967794) is active in the NPPES registry as of the last update on 2019-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.