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Dr. Mark Park , DDS

Dentist - Endodontics β€’ Flushing, NY

Active NPI 1134734353 Individual Practitioner Male Practitioner
Practice location in NPPES

14474 Northern Blvd Apt Phc
Flushing, NY 113544588

Call 3237172375 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14474 Northern Blvd Apt Phc

Flushing, NY 113544588

Telephone 3237172375

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Flushing and New York

9 active clinicians are listed under Dentist - Endodontics with a practice address in Flushing, NY (484 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-30
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES NY 063880

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location July 30, 2026

Registered at 14474 NORTHERN BLVD APT PHC, FLUSHING, NY 113544588 (Tel: 3237172375)

πŸ“
Updated Business Mailing Address July 30, 2026

Registered at 14474 NORTHERN BLVD APT PHC, FLUSHING, NY 113544588

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2026

Dentist (license number reported to NPPES: NY 063880)

πŸ“
Updated Practice Location December 14, 2023

Registered at MEDDAC-BAVARIA, CMR 411, APO, AE 09112 (Tel: 3145902800)

πŸ“
Updated Business Mailing Address December 14, 2023

Registered at MEDDAC-BAVARIA, CMR 411, APO, AE 09112

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2023

Dentist (license number reported to NPPES: CA DDS105513)

βœ…
NPI Profile Active September 14, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 14, 2020

Registered at 404 SHATTO PL APT 443, LOS ANGELES, CA 900201739 (Tel: 3237172375)

πŸ“
Business Mailing Address (Initial Record) September 14, 2020

Registered at 404 SHATTO PL APT 443, LOS ANGELES, CA 900201739

πŸ‘€
Provider Name / Credentials (Initial Record) September 14, 2020

Recorded as MARK PARK, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2020

Dentist (license number reported to NPPES: CA 105513)

🟒
Initial NPI Registration & Enumeration September 14, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134734353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2020
Last Update: July 30, 2026
Sole Proprietor: No

Other Dentist - Endodontics Specialists in Flushing

Healthcare providers in Flushing

Mailing Address

14474 Northern Blvd Apt Phc

Flushing, NY 113544588

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.