Kideog Park
General Practice Dentistry · Garden Grove, CA
Kideog Park is a general practice dentistry with a practice address in Garden Grove, California, and NPI 1861010845, issued on Jul 7, 2020. Check the license (California 102006, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kideog Park
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 102006 CA
Self-reported in NPPES; status is on the state search - Practice location
- 9618 Garden Grove Blvd Ste 208, Garden Grove, CA 92844
- Phone
- (714) 537-9380
- Enumerated
- Jul 7, 2020
- Record last updated
- Jul 7, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (714) 537-2593
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 17,852 in California → Look up another NPI →
Verify Kideog Park in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 102006Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $39.02
2 payments; by number, the most common kind was food and beverage; the largest payer was Dentsply Sirona Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kideog Park among 17,852 general practice dentistry records in California
Kideog Park is one of 17,852 general practice dentistry records with a practice address in California. 57% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 87% of them.
- NPI issued2020 · 87% of these records are older, 11% newer
- In a Medicare fileYes · 57% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2020 · 79% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
86 general practice dentistry records list a practice address in Garden Grove
They are 86 of the 4,572 NPPES records with a practice address in Garden Grove, and 17,852 general practice dentistry records in California.
All 17,852 in California → Every provider in Garden Grove → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Rebecca Chung, DDSGarden Grove, CA 928441740408681
- John Chung, DMDGarden Grove, CA 928441609421452
- Christopher Dinh, D.D.SGarden Grove, CA 928441699863407
- Danny Do, DDSGarden Grove, CA 928441457074171
- Ukjae Jung, D.D.S.Garden Grove, CA 928441326351966
- Sandy Kim, DDSGarden Grove, CA 928441538287503
- In Kim, D.D.S.Garden Grove, CA 928441184830309
- Jongin Lee, DDSGarden Grove, CA 928441700039872
Common questions
What is Kideog Park's NPI number?
Kideog Park's National Provider Identifier (NPI) is 1861010845, issued on Jul 7, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Kideog Park located?
The NPPES record lists a practice address at 9618 Garden Grove Blvd Ste 208, Garden Grove, CA, 92844. Phone: (714) 537-9380. Providers update this record themselves, so call before visiting.
How can I verify Kideog Park's license?
NPPES lists California license number 102006, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.