DR. DOUGLAS LEE PARK DDS
NPI 1366521122
Dentist - Pediatric Dentistry in Gresham, OR
NPI Status: Active since November 03, 2006
Contact Information
1201 SE 223RD AVE
SUITE 240
GRESHAM, OR
ZIP 97030
Phone: (503) 666-9800
Fax: (503) 666-6787
- Individual
- Male
- Dentist
- Pediatric Dentistry
- Accepts Insurance
About DOUGLAS PARK
This page provides the complete NPI Profile along with additional information for Douglas Park, a provider established in Gresham, Oregon with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1366521122 assigned on November 2006. The practitioner's primary taxonomy code is 1223P0221X with license number D6620 (OR). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1366521122
- Provider Name
- DR. DOUGLAS LEE PARK DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1201 SE 223RD AVE SUITE 240 GRESHAM, OR 97030
- Location Phone
- (503) 666-9800
- Location Fax
- (503) 666-6787
- Mailing Address
- 34116 SE CARPENTER LN GRESHAM, OR 97080
- Mailing Phone
- (503) 663-5162
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-03-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Douglas Park is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
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
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- D6620
- License State
- OR
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Delta Dental EPO - EPO
- Delta Dental PPO - PPO
- Delta Dental PPO MAC - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Dental Choice 0-20-50 1000 - Indemnity
- Dental Choice 0-20-50 1500 - Indemnity
- Dental PPO 0-20-50 1000 - PPO
- Dental PPO 0-20-50 1500 - PPO
- Kids Dental Choice 0-20-50 - Indemnity
- Kids Dental PPO 0-20-50 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 028030 | MEDICARE ID-TYPE UNSPECIFIED (04) | OR |
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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 1366521122, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
GRESHAM, OR 97030
GRESHAM, OR 97030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366521122, enumerated as an "individual" on November 03, 2006.
The provider is located at 1201 SE 223RD AVE SUITE 240 GRESHAM, OR 97030 and the phone number is (503) 666-9800.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: Delta Dental Plan of Oregon, Humana, PacificSource. Please consult your insurance carrier or call the provider to verify.
