Mindy Park DDS Inc
NPI 1063231090 · Dental Clinic/Center · Northridge, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mindy Park DDS Inc is a Dental Clinic/Center organization in Northridge, CA (NPI 1063231090).
Provider details
- NPI number
- 1063231090
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mindy Park, Dentist/Owner(818) 576-9990
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Frequently asked questions
- What is Mindy Park DDS Inc's NPI number?
- Mindy Park DDS Inc's National Provider Identifier (NPI) is 1063231090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mindy Park DDS Inc?
- Mindy Park DDS Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mindy Park DDS Inc located?
- Mindy Park DDS Inc's practice location on file with NPPES is 8345 Reseda Blvd Ste 101, Northridge, CA 91324-4648.
- What is Mindy Park DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Mindy Park DDS Inc is (818) 576-9990.
- Does Mindy Park DDS Inc accept Medicare?
- Mindy Park DDS Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mindy Park DDS Inc?
- The authorized official listed on Mindy Park DDS Inc's NPPES record is Mindy Park, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mindy Park DDS Inc's NPI active?
- Yes — Mindy Park DDS Inc's NPI (1063231090) is active in the NPPES registry as of the last update on 2024-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.