Ryan Park, DDS, PLLC
NPI 1093404683ActiveOrganization· Dentist, General Practice· Burleson, TX
Dentist, General Practice in Burleson, Texas, registered in NPPES in May 2023. The authorized official on file is Ryan Park, Dds.
Overview
| NPI | 1093404683 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2023 |
| Last updated in NPPES | May 1, 2023 |
| Certified by provider | May 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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