Tina Park, D.D.S., M.S.
NPI 1407200694 · Orthodontics and Dentofacial Orthopedics Dentistry · Seattle, WA
Enrolled with Medicare as Order and Referring Only - Orthodontics and Dentofacial Orthopedics · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tina Park, D.D.S., M.S. is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Seattle, WA (NPI 1407200694).
Provider details
- NPI number
- 1407200694
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 63253 (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
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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.
Practice location
Mailing address
Additional practice locations (2)
- 626 120th Ave Ne Ste B210Bellevue, WA 98005-3038Phone: (855) 433-6825
- 3216 Norton AveEverett, WA 98201-4290Phone: (855) 433-6825
Registry dates
- Enumerated
- 2016-04-14
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Frequently asked questions
- What is Tina Park's NPI number?
- Tina Park's National Provider Identifier (NPI) is 1407200694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tina Park's specialty?
- Tina Park is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Tina Park located?
- Tina Park's practice location on file with NPPES is 11011 Meridian Ave N Ste 104, Seattle, WA 98133-8967.
- What is Tina Park's phone number?
- The practice phone number listed in the NPPES registry for Tina Park is (855) 433-6825.
- Does Tina Park accept Medicare?
- Tina Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tina Park's NPI active?
- Yes — Tina Park's NPI (1407200694) is active in the NPPES registry as of the last update on 2024-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.