What is Andrew Park's NPI number?

Andrew Park's National Provider Identifier (NPI) is 1407040116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Andrew Park's specialty?

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

Where is Andrew Park located?

Andrew Park's practice location on file with NPPES is 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692.

What is Andrew Park's phone number?

The practice phone number listed in the NPPES registry for Andrew Park is (619) 524-4005.

Is Andrew Park's NPI active?

Yes — Andrew Park's NPI (1407040116) is active in the NPPES registry as of the last update on 2026-04-02.

IndividualActive

Andrew Park, DMD

NPI 1407040116 · Endodontics · San Diego, CA

Andrew Park, DMD is a Endodontics provider in San Diego, CA (NPI 1407040116).

Provider details

NPI number: 1407040116
Entity type: Individual
Primary specialty: EndodonticsDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No

Specialties & taxonomies

EndodonticsPrimary1223E0200XLicense 59312 (CA)
Dental Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Detailed profile(83/100 index)

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
83% 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

43000 Midway Ave Bldg 595

San Diego, CA 92140-5692

Phone: (619) 524-4005

Approximate (ZIP-level) locationGet directions

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Mailing address