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ELIZABETH PARK DDS
NPI 1003999889
Dentist in Carson City, NV

Active since October 23, 2006Opted out of Medicare · through Dec 12, 2027
501 S DIVISION ST, CARSON CITY, NV 89703(775) 882-1195(775) 882-3037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth Park Dds NPPES

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

ELIZABETH PARK DDS (NPI 1003999889) is an individual dentist in Carson City, Nevada, licensed in Nevada (4703) and active in the NPI registry since October 2006. She has opted out of Medicare through December 12, 2027.

NPPES Registry Identity

NPI1003999889
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameELIZABETH PARKCredential: DDS
Location Address501 S DIVISION STCarson City, NV 89703
Mailing Address290 Allerman LnGardnerville, NY 89460 · (775) 782-8034 · Fax (775) 882-3037
Phone(775) 882-1195
Fax(775) 882-3037
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003999889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NV · 4703✔ Licensed in CA · 52098
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.
501 S DIVISION ST, Carson City, NV 89703
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Elizabeth Park Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 12, 2023 through December 12, 2027.

Opt-Out Effective DateDecember 12, 2023
Opt-Out In Effect ThroughDecember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARK DENTAL MANAGEMENT COMPANY
Dentist (General Practice)
501 S DIVISION ST
CARSON CITY, NV 89703
Carson City (775) 882-1195

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 Elizabeth Park's NPI number?

The NPI number for Elizabeth Park is 1003999889. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Elizabeth Park located?

Elizabeth Park practices at 501 S Division St, Carson City, NV 89703. The listed phone number is (775) 882-1195.

What is Elizabeth Park's specialty?

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

Is Elizabeth Park enrolled in Medicare?

No. Elizabeth Park has opted out of Medicare through December 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elizabeth Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Elizabeth 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 Elizabeth Park was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.