DR. KYUNGSIN PARK DDS
NPI 1003094426
Dentist in Riverside, CA

Q: What is Kyungsin Park's NPI number?

The NPI number for Kyungsin Park is 1003094426. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Q: What is Kyungsin Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kyungsin Park was last updated on December 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2008PECOS Enrolled

285 E ALESSANDRO BLVD, STE 7D, RIVERSIDE, CA 92508(951) 780-9800(951) 780-3267 Get Directions Write a Review

NPPES record last updated: December 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kyungsin Park Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYUNGSIN PARK DDS (NPI 1003094426) is an individual dentist in Riverside, California, licensed in California (56339) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003094426

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KYUNGSIN PARKCredential: DDS

Location Address285 E ALESSANDRO BLVD, STE 7DRiverside, CA 92508-5083

Mailing Address285 E Alessandro Blvd, Ste 7dRiverside, CA 92508-5083 · (951) 780-9800 · Fax (951) 780-3267

Phone(951) 780-9800

Fax(951) 780-3267

Sole ProprietorYes

Enumeration DateFebruary 7, 2008

Last NPPES UpdateDecember 26, 2011

✔ NPI 1003094426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 56339

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

285 E ALESSANDRO BLVD, Riverside, CA 92508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyungsin Park Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyungsin Park's NPI number?

The NPI number for Kyungsin Park is 1003094426. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Where is Kyungsin Park located?

Kyungsin Park practices at 285 E Alessandro Blvd Ste 7D, Riverside, CA 92508. The listed phone number is (951) 780-9800.

What is Kyungsin Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kyungsin Park enrolled in Medicare?

Yes. Kyungsin Park is registered in the Medicare PECOS enrollment system.

What insurance does Kyungsin Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Kyungsin Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyungsin Park was last updated on December 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.