Douglas Park, DDS
NPI 1366521122 · Pediatric Dentistry · Gresham, OR
Douglas Park, DDS is a Pediatric Dentistry provider in Gresham, OR (NPI 1366521122).
Provider details
- NPI number
- 1366521122
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D6620 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 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.
$178 across 3 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
- 2006-11-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Douglas Park's NPI number?
- Douglas Park's National Provider Identifier (NPI) is 1366521122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Park's specialty?
- Douglas Park is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Douglas Park located?
- Douglas Park's practice location on file with NPPES is 1201 Se 223rd Ave, Gresham, OR 97030.
- What is Douglas Park's phone number?
- The practice phone number listed in the NPPES registry for Douglas Park is (503) 666-9800.
- Is Douglas Park's NPI active?
- Yes — Douglas Park's NPI (1366521122) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.