Heather Hana Park, DDS
NPI 1053967794ActiveIndividual· Dentist, General Practice· La Quinta, CA
Dentist, General Practice (DDS) in La Quinta, California, licensed in CA, with an NPI issued in August 2019. Enrolled in Medicare as order and referring only - dentist.
Overview
| NPI | 1053967794 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Aug 16, 2019 |
| Last updated in NPPES | Aug 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 104291 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (CA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general dentists in La Quinta
- 1174613566
- 1275737983
- 1871539221
- 1891084836
- 1023215712
- 1154638500
- 1215162755
- 1639360308
- 1720615560
- 1790993269
- 1851485635
- 1902657810
All 20 general dentists in La Quinta · All general dentists in California