DEREK PARK DDS
NPI 1700778172
Dentist - General Practice in Monroe, WA

Q: What is Derek Park's NPI number?

The NPI number for Derek Park is 1700778172. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Q: What is Derek Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Park was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 18, 2025

623 W MAIN ST, MONROE, WA 98272(360) 805-9060 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Derek Park Dds NPPES

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

DEREK PARK DDS (NPI 1700778172) is an individual general practice provider in Monroe, Washington, licensed in Washington (61691554) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1700778172

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDEREK PARKCredential: DDS

Location Address623 W MAIN STMonroe, WA 98272-2101

Mailing Address12115 19th Ave Se Apt H303Everett, WA 98208-6277 · (425) 207-6827

Phone(360) 805-9060

Sole ProprietorNo

Enumeration DateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1700778172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · 61691554

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.

623 W MAIN ST, Monroe, WA 98272

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Florida Combined Life, Humana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.

Dentist

623 W MAIN ST
MONROE, WA 98272

Snohomish County (360) 805-9060

DDK, PLLC

Clinic/Center (Dental)

623 W MAIN ST
MONROE, WA 98272

Snohomish County (360) 805-9060

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 Derek Park's NPI number?

The NPI number for Derek Park is 1700778172. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Derek Park located?

Derek Park practices at 623 W Main St, Monroe, WA 98272. The listed phone number is (360) 805-9060.

What is Derek Park's specialty?

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

What insurance does Derek Park accept?

Health plans from BEST Life, Florida Combined Life, Humana and Premera Blue Cross Blue Shield of Alaska list Derek 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 Derek Park was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.