DR. KEVIN PARK DDS
NPI 1295102317
Dentist in Los Angeles, CA

Q: What is Kevin Park's NPI number?

The NPI number for Kevin Park is 1295102317. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Q: What is Kevin Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Park was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2015

104 W 7TH ST, LOS ANGELES, CA 90014(626) 215-5810 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 29, 2021, May 28, 2021 (2 updates tracked since 2021).

On this page

About Dr. Kevin Park Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN PARK DDS (NPI 1295102317) is an individual dentist in Los Angeles, California, licensed in California (103301) and active in the NPI registry since August 2015. He maintains a secondary practice location in Abilene.

NPPES Registry Identity

NPI1295102317

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEVIN PARKCredential: DDS

Location Address104 W 7TH STLos Angeles, CA 90014-1906

Mailing Address104 W 7th StLos Angeles, CA 90014-1906 · (626) 215-5810

Phone(626) 215-5810

Sole ProprietorNo

Enumeration DateAugust 24, 2015

Last NPPES UpdateJune 29, 20212 updates tracked since enumeration

NPPES CertifiedJune 29, 2021

✔ NPI 1295102317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · 103301✔ Licensed in TX · 31403

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

104 W 7TH ST, Los Angeles, CA 90014

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Secondary Practice Location 1

Location 11365 Barrow StAbilene, TX 79605-5171 · Phone (325) 480-4248

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN PARK, DDS, INC.

Dentist

104 W 7TH ST
LOS ANGELES, CA 90014

Los Angeles County (626) 215-5810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Park's NPI number?

The NPI number for Kevin Park is 1295102317. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Kevin Park located?

Kevin Park practices at 104 W 7th St, Los Angeles, CA 90014. The listed phone number is (626) 215-5810.

What is Kevin Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kevin Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 7 other insurers list Kevin Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Park was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.