JOSEPH PARK DDS
NPI 1053713156
Dentist - Pediatric Dentistry in Monrovia, CA

Active since September 19, 2014PECOS Enrolled
925 W FOOTHILL BLVD STE C, MONROVIA, CA 91016(626) 408-0800 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2022, Jul 26, 2020, Jul 9, 2020 (3 updates tracked since 2020).

About Joseph Park Dds NPPES

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

JOSEPH PARK DDS (NPI 1053713156) is an individual pediatric dentistry provider in Monrovia, California, licensed in California (64009) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053713156
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJOSEPH PARKCredential: DDS
Location Address925 W FOOTHILL BLVD STE CMonrovia, CA 91016-1930
Mailing Address925 W Foothill Blvd Ste CMonrovia, CA 91016-1930
Sole ProprietorYes
Enumeration DateSeptember 19, 2014
Last NPPES UpdateAugust 29, 20223 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1053713156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 64009
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
925 W FOOTHILL BLVD STE C, Monrovia, CA 91016

Accepted 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)

Joseph 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 91016 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
925 W FOOTHILL BLVD STE C
MONROVIA, CA 91016

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 Joseph Park's NPI number?

The NPI number for Joseph Park is 1053713156. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Joseph Park located?

Joseph Park practices at 925 W Foothill Blvd Ste C, Monrovia, CA 91016. The listed phone number is (626) 408-0800.

What is Joseph Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Joseph Park enrolled in Medicare?

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

What insurance does Joseph Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Joseph 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 Joseph Park was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.