Kim&park A Dental Corporation
NPI 1912226804ActiveOrganization· Dentist, General Practice· Rialto, CA
Dentist, General Practice in Rialto, California, registered in NPPES in May 2010, part of Kim&park A Dental Corporation. The authorized official on file is Charles C. Park, DDS, President.
Overview
| NPI | 1912226804 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kim&park A Dental Corporation |
| NPI issued | May 18, 2010 |
| Last updated in NPPES | May 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 50087 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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