Mindy Park, DDS
NPI 1417257767 · Oral and Maxillofacial Surgery (Dentist) · Northridge, CA
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mindy Park, DDS is a Oral and Maxillofacial Surgery (Dentist) provider in Northridge, CA (NPI 1417257767).
Provider details
- NPI number
- 1417257767
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 54241 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 262 | 165 |
| Ibuprofen | 134 | 109 |
| Chlorhexidine Gluconate | 124 | 83 |
| Clindamycin Hcl | 14 | — |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 12 | — |
| Sodium Fluoride/Potassium Nitbrand: Sodium Fluoride Sensitive | 12 | — |
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 , 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
Registry dates
- Enumerated
- 2010-11-02
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Frequently asked questions
- What is Mindy Park's NPI number?
- Mindy Park's National Provider Identifier (NPI) is 1417257767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mindy Park's specialty?
- Mindy Park is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Mindy Park located?
- Mindy Park's practice location on file with NPPES is 8345 Reseda Blvd. #101, Northridge, CA 91324.
- What is Mindy Park's phone number?
- The practice phone number listed in the NPPES registry for Mindy Park is (818) 576-9990.
- Does Mindy Park accept Medicare?
- Mindy Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mindy Park's NPI active?
- Yes — Mindy Park's NPI (1417257767) is active in the NPPES registry as of the last update on 2023-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.