John Park, DMD
NPI 1083866982 · Pediatric Dentistry · Albany, NY
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Park, DMD is a Pediatric Dentistry provider in Albany, NY (NPI 1083866982).
Provider details
- NPI number
- 1083866982
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 056491 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-10-22
- Last updated
- 2018-05-17
Frequently asked questions
- What is John Park's NPI number?
- John Park's National Provider Identifier (NPI) is 1083866982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Park's specialty?
- John Park is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is John Park located?
- John Park's practice location on file with NPPES is 4 Executive Park Dr, Albany, NY 12203.
- What is John Park's phone number?
- The practice phone number listed in the NPPES registry for John Park is (347) 408-8673.
- Does John Park accept Medicare?
- John Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Park's NPI active?
- Yes — John Park's NPI (1083866982) is active in the NPPES registry as of the last update on 2018-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.