Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ethan Sb Park

Q: What is the NPI number for Ethan Park?

The National Provider Identifier (NPI) for Ethan Park is 1144779828, a Type 1 (individual) record in the CMS NPPES registry.

Dentist in Temple City, CA · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144779828

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Registry record

Entity type Individual (Type 1)

Name Ethan Sb Park

Sex Male

Practice address Temple City, CA, 91780

Phone (626) 500-4340

Fax (626) 544-5335

Enumeration date Sep 23, 2016

Last updated in NPPES Jul 12, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 100873 (CA) Secondary

122300000X Dentist Dental Providers · License 100873 (CA) Primary

Other identifiers

Identifier	Type	State	Issuer
100873	Other	CA	DENTIST

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Ethan Park?

The National Provider Identifier (NPI) for Ethan Park is 1144779828, a Type 1 (individual) record in the CMS NPPES registry.

Where does Ethan Park practice?

The practice location on file with NPPES is in Temple City, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-12.