DJ PARK DMD INC
NPI 1386460483
Dentist - General Practice in San Francisco, CA

Active since November 23, 2024
2419 OCEAN AVE STE A, SAN FRANCISCO, CA 94127(415) 333-4232 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 18, 2025, Nov 23, 2024 (2 updates tracked since 2024).

About Dj Park Dmd Inc NPPES

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

DJ PARK DMD INC (NPI 1386460483), doing business as Ingleside Dental Group, is a healthcare organization registered as a general practice in San Francisco, California and active in the NPI registry since November 2024. The organization lists David Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1386460483
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDJ PARK DMD INC
Location Address2419 OCEAN AVE STE ASan Francisco, CA 94127-2624
Mailing Address2419 Ocean Ave Ste ASan Francisco, CA 94127-2624 · (415) 333-4232
Organization SubpartNo
Authorized OfficialDavid ParkOwner · (617) 259-7763
Enumeration DateNovember 23, 2024
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1386460483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
2419 OCEAN AVE STE A, San Francisco, CA 94127

Other Names 1

Doing Business AsIngleside Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Dj Park Dmd Inc's NPI number?

The NPI number for Dj Park Dmd Inc is 1386460483. It was assigned to this organization in the NPPES registry on November 23, 2024. The provider is doing business as Ingleside Dental Group.

Where is Dj Park Dmd Inc located?

Dj Park Dmd Inc is located at 2419 Ocean Ave Ste A, San Francisco, CA 94127. The listed phone number is (415) 333-4232.

What is Dj Park Dmd Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dj Park Dmd Inc was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.