SAM S PARK DMD
NPI 1831614213
Dentist in Corona, CA

Q: What is Sam Park's NPI number?

The NPI number for Sam Park is 1831614213. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Q: What is Sam 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 Sam Park was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 07, 2017

1222 MAGNOLIA AVE STE 101, CORONA, CA 92881(909) 256-0456 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Aug 7, 2017 (2 updates tracked since 2017).

On this page

About Sam S Park Dmd NPPES

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

SAM S PARK DMD (NPI 1831614213) is an individual dentist in Corona, California, licensed in California (DDS101611) and active in the NPI registry since August 2017. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1831614213

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSAM S PARKCredential: DMD

Location Address1222 MAGNOLIA AVE STE 101Corona, CA 92881-2075

Mailing Address5555 Crestridge Rd Apt 210Rancho Palos Verdes, CA 90275-3580 · (310) 344-8893

Phone(909) 256-0456

Sole ProprietorYes

Enumeration DateAugust 7, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1831614213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS101611

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.

1222 MAGNOLIA AVE STE 101, Corona, CA 92881

Open in Google Maps ↗

Secondary Practice Location 1

Location 1514 E Washington BlvdLos Angeles, CA 90015-3723 · Phone (213) 749-3934

Accepted Insurance

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

DR. WILLIAM L CHIUEH DMD

Dentist (General Practice)

1222 MAGNOLIA AVE STE 101
CORONA, CA 92881

Riverside County (951) 582-3432

WILLIAM LEE CHIUEH.DMD INC.

Clinic/Center (Dental)

1222 MAGNOLIA AVE STE 101
CORONA, CA 92881

Riverside County (951) 582-3432

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 Sam Park's NPI number?

The NPI number for Sam Park is 1831614213. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is Sam Park located?

Sam Park practices at 1222 Magnolia Ave Ste 101, Corona, CA 92881. The listed phone number is (909) 256-0456.

What is Sam Park's specialty?

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

What insurance does Sam Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Sam 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 Sam Park was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.