Suzan Park, DDS
NPI 1376775767 · General Practice Dentistry · Oakland, CA
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suzan Park, DDS is a General Practice Dentistry provider in Oakland, CA (NPI 1376775767).
Provider details
- NPI number
- 1376775767
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 57046 (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
16 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
Mailing address
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2015-10-17
Frequently asked questions
- What is Suzan Park's NPI number?
- Suzan Park's National Provider Identifier (NPI) is 1376775767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suzan Park's specialty?
- Suzan Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Suzan Park located?
- Suzan Park's practice location on file with NPPES is 1411 E 31st St, Oakland, CA 94602-1018.
- What is Suzan Park's phone number?
- The practice phone number listed in the NPPES registry for Suzan Park is (510) 437-4101.
- Does Suzan Park accept Medicare?
- Suzan Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Suzan Park's NPI active?
- Yes — Suzan Park's NPI (1376775767) is active in the NPPES registry as of the last update on 2015-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.