JC PARK DENTAL GROUP, INC.
NPI 1215638713
Clinic/Center - Dental in Gardena, CA

NPI Status: Active since March 13, 2023

Contact Information

15201 S WESTERN AVE
GARDENA, CA
ZIP 90249
Phone: (310) 400-7705
Fax: (310) 400-7714

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  • Organization
  • Clinic/Center
  • Dental

About JC PARK DENTAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Jc Park Dental Group, Inc., a provider established in Gardena, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1215638713 assigned on March 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Jaechan Park (President)

NPI
1215638713
Provider Name
JC PARK DENTAL GROUP, INC.
Entity Type
Organization
Location Address
15201 S WESTERN AVE GARDENA, CA 90249
Location Phone
(310) 400-7705
Location Fax
(310) 400-7714
Mailing Address
614 INVERNESS CT FULLERTON, CA 92835
Mailing Phone
(626) 454-0159
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2023
Last Update Date
03-13-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAECHAN PARK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(626) 454-0159

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215638713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 1 + 2 + 3 + 1 + 6 + 7 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1215638713.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
15201 S WESTERN AVE
GARDENA, CA 90249

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215638713, enumerated as an "organization" on March 13, 2023.

The provider is located at 15201 S WESTERN AVE GARDENA, CA 90249 and the phone number is (310) 400-7705.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.