OrganizationActive
Jc Park Dental Group, Inc.
NPI 1215638713 · Dental Clinic/Center · Gardena, CA
Jc Park Dental Group, Inc. is a Dental Clinic/Center organization in Gardena, CA (NPI 1215638713).
Provider details
- NPI number
- 1215638713
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaechan Park, President(626) 454-0159
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
15201 S Western Ave
Gardena, CA 90249-4314
Phone: (310) 400-7705
Fax: (310) 400-7714
Street-level locationGet directions
Mailing address
614 Inverness Ct
Fullerton, CA 92835-2776
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is Jc Park Dental Group, Inc.'s NPI number?
- Jc Park Dental Group, Inc.'s National Provider Identifier (NPI) is 1215638713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jc Park Dental Group, Inc.?
- Jc Park Dental Group, Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jc Park Dental Group, Inc. located?
- Jc Park Dental Group, Inc.'s practice location on file with NPPES is 15201 S Western Ave, Gardena, CA 90249-4314.
- What is Jc Park Dental Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jc Park Dental Group, Inc. is (310) 400-7705.
- Who is the authorized official for Jc Park Dental Group, Inc.?
- The authorized official listed on Jc Park Dental Group, Inc.'s NPPES record is Jaechan Park, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jc Park Dental Group, Inc.'s NPI active?
- Yes — Jc Park Dental Group, Inc.'s NPI (1215638713) is active in the NPPES registry as of the last update on 2023-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.