Jin Park, DDS
NPI 1851690861 · General Practice Dentistry · Granada Hills, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jin Park, DDS is a General Practice Dentistry provider in Granada Hills, CA (NPI 1851690861).
Provider details
- NPI number
- 1851690861
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 54066 (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
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-17
- Last updated
- 2011-03-17
Frequently asked questions
- What is Jin Park's NPI number?
- Jin Park's National Provider Identifier (NPI) is 1851690861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jin Park's specialty?
- Jin Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jin Park located?
- Jin Park's practice location on file with NPPES is 17526 Chatsworth St, Granada Hills, CA 91344-5719.
- What is Jin Park's phone number?
- The practice phone number listed in the NPPES registry for Jin Park is (818) 832-2828.
- Does Jin Park accept Medicare?
- Jin Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jin Park's NPI active?
- Yes — Jin Park's NPI (1851690861) is active in the NPPES registry as of the last update on 2011-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.