Timothy Park
NPI 1457190738 · Student in an Organized Health Care Education/Training Program · Seattle, WA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Park is a Student in an Organized Health Care Education/Training Program provider in Seattle, WA (NPI 1457190738).
Provider details
- NPI number
- 1457190738
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- DE61681113 (WA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense DE61681113 (WA)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-05-24
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Frequently asked questions
- What is Timothy Park's NPI number?
- Timothy Park's National Provider Identifier (NPI) is 1457190738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Park's specialty?
- Timothy Park is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Timothy Park located?
- Timothy Park's practice location on file with NPPES is 1959 Ne Pacific Street; Box 357134, Seattle, WA 98195-1463.
- What is Timothy Park's phone number?
- The practice phone number listed in the NPPES registry for Timothy Park is (215) 285-5142.
- Does Timothy Park accept Medicare?
- Timothy Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Park's NPI active?
- Yes — Timothy Park's NPI (1457190738) is active in the NPPES registry as of the last update on 2025-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.