Jaechan Park, D.D.S.
NPI 1275666315 · General Practice Dentistry · Gardena, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaechan Park, D.D.S. is a General Practice Dentistry provider in Gardena, CA (NPI 1275666315).
Provider details
- NPI number
- 1275666315
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 49972 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ibuprofen | 35 | 26 |
| Amoxicillin | 32 | 28 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 2421 E Tudor Rd Ste 101Anchorage, AK 99507-1166Phone: (907) 222-6000Fax: (907) 677-1247
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is Jaechan Park's NPI number?
- Jaechan Park's National Provider Identifier (NPI) is 1275666315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaechan Park's specialty?
- Jaechan Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jaechan Park located?
- Jaechan Park's practice location on file with NPPES is 15201 S Western Ave, Gardena, CA 90249-4314.
- What is Jaechan Park's phone number?
- The practice phone number listed in the NPPES registry for Jaechan Park is (310) 400-7705.
- Does Jaechan Park accept Medicare?
- Jaechan Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaechan Park's NPI active?
- Yes — Jaechan Park's NPI (1275666315) 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.