Jason Park, DDS
NPI 1104305093 · General Practice Dentistry · Lynnwood, WA
Jason Park, DDS is a General Practice Dentistry provider in Lynnwood, WA (NPI 1104305093).
Provider details
- NPI number
- 1104305093
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 60868937 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$46 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-10
- Last updated
- 2018-08-10
Frequently asked questions
- What is Jason Park's NPI number?
- Jason Park's National Provider Identifier (NPI) is 1104305093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Park's specialty?
- Jason Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jason Park located?
- Jason Park's practice location on file with NPPES is 1418 164th St Sw Ste 100, Lynnwood, WA 98087-8500.
- What is Jason Park's phone number?
- The practice phone number listed in the NPPES registry for Jason Park is (425) 742-8828.
- Is Jason Park's NPI active?
- Yes — Jason Park's NPI (1104305093) is active in the NPPES registry as of the last update on 2018-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.