What is Changsu Park's NPI number?

Changsu Park's National Provider Identifier (NPI) is 1548441033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Changsu Park's specialty?

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

Where is Changsu Park located?

Changsu Park's practice location on file with NPPES is 100 Prison Rd, Represa, CA 95671-0002.

What is Changsu Park's phone number?

The practice phone number listed in the NPPES registry for Changsu Park is (916) 985-8610.

Is Changsu Park's NPI active?

Yes — Changsu Park's NPI (1548441033) is active in the NPPES registry as of the last update on 2016-03-07.

IndividualActive

Changsu Park, D. D. S.

NPI 1548441033 · Dentist · Represa, CA

Changsu Park, D. D. S. is a Dentist provider in Represa, CA (NPI 1548441033).

Provider details

NPI number: 1548441033
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D. D. S.
Sex: Male
Sole proprietor: No
License: 35532 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 35532 (CA)
Dental Providers

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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

100 Prison Rd

Represa, CA 95671-0002

Phone: (916) 985-8610

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

Po Box 290002