DR. HEATHER HANA PARK DDS
NPI 1053967794
Dentist - General Practice in La Quinta, CA

Active since August 16, 2019PECOS Enrolled
78595 HIGHWAY 111 STE 300, LA QUINTA, CA 92253(760) 771-0300 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Heather Hana Park Dds NPPES

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

DR. HEATHER HANA PARK DDS (NPI 1053967794) is an individual general practice provider in La Quinta, California, licensed in California (104291) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053967794
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HEATHER HANA PARKCredential: DDS
Location Address78595 HIGHWAY 111 STE 300La Quinta, CA 92253-2084
Mailing Address43100 Palm Royale Dr Apt 426La Quinta, CA 92253-7995 · (909) 438-7610
Sole ProprietorNo
Enumeration DateAugust 16, 2019
NPI 1053967794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 104291
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
78595 HIGHWAY 111 STE 300, La Quinta, CA 92253

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)

Dr. Heather Hana 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 92253 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.

Other Providers at the Same Location NPPES 3

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

Dentist
78595 HIGHWAY 111 STE 300
LA QUINTA, CA 92253
Dentist
78595 HIGHWAY 111 STE 300
LA QUINTA, CA 92253
Dentist
78595 HIGHWAY 111 STE 300
LA QUINTA, CA 92253

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 Heather Park's NPI number?

The NPI number for Heather Park is 1053967794. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Heather Park located?

Heather Park practices at 78595 Highway 111 Ste 300, La Quinta, CA 92253. The listed phone number is (760) 771-0300.

What is Heather Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Heather Park enrolled in Medicare?

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

What insurance does Heather 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 HRI Dental & Vision and 4 other insurers list Heather 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 Heather Park was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.