What is Ethan Park's NPI number?

Ethan Park's National Provider Identifier (NPI) is 1144779828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Park's specialty?

Ethan Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Ethan Park located?

Ethan Park's practice location on file with NPPES is 5728 Rosemead Blvd Unit 220, Temple City, CA 91780-1814.

What is Ethan Park's phone number?

The practice phone number listed in the NPPES registry for Ethan Park is (626) 500-4340.

Is Ethan Park's NPI active?

Yes — Ethan Park's NPI (1144779828) is active in the NPPES registry as of the last update on 2023-07-12.

IndividualActive

Ethan Park

NPI 1144779828 · Dentist · Temple City, CA

Ethan Park is a Dentist provider in Temple City, CA (NPI 1144779828).

Provider details

NPI number: 1144779828
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: Yes
License: 100873 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 100873 (CA)
Dental Providers
General Practice Dentistry1223G0001XLicense 100873 (CA)
Dental Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 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

5728 Rosemead Blvd Unit 220

Temple City, CA 91780-1814

Phone: (626) 500-4340

Fax: (626) 544-5335

Street-level locationGet directions

More CA providers

Mailing address