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Ethan Sb Park

NPI 1144779828ActiveIndividual· Dentist· Temple City, CA

Dentist in Temple City, California, licensed in CA, with an NPI issued in September 2016. Align Technology, Inc. reported $471.07 in payments in 2025, mostly education.

Overview

NPI1144779828
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedSep 23, 2016
Last updated in NPPESJul 12, 2023
Certified by providerJul 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X100873CA
Dentist, General Practice1223G0001X100873CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$471.07 · 7 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Align Technology, Inc.$471.077

What the 2025 payments were for

  • Education$350.00 · 1 payment
  • Food and Beverage$121.07 · 6 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Temple City

All 20 dentists in Temple City · All dentists in California