DR. ROBERT D PARK D.M.D.
NPI 1063611747
Dentist - Orthodontics and Dentofacial Orthopedics in Cockeysville, MD

Active since July 13, 2007Opted out of Medicare · through May 29, 2027
9727 GREENSIDE DR, COCKEYSVILLE, MD 21030(410) 667-6404 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert D Park D.m.d. NPPES

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

DR. ROBERT D PARK D.M.D. (NPI 1063611747) is an individual orthodontics and dentofacial orthopedics provider in Cockeysville, Maryland, licensed in Virginia (0401413036) and active in the NPI registry since July 2007. He has opted out of Medicare through May 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063611747
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ROBERT D PARKCredential: D.M.D.
Location Address9727 GREENSIDE DRCockeysville, MD 21030-5030
Mailing Address9727 Greenside DrCockeysville, MD 21030-5030 · (410) 667-6404
Sole ProprietorYes
Enumeration DateJuly 13, 2007
Last NPPES UpdateSeptember 21, 2015
NPI 1063611747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in VA · 0401413036
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
9727 GREENSIDE DR, Cockeysville, MD 21030

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Robert D Park D.m.d. 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 May 29, 2015 through May 29, 2027.

Opt-Out Effective DateMay 29, 2015
Opt-Out In Effect ThroughMay 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21030 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 9

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

Dentist
9727 GREENSIDE DR, #101
COCKEYSVILLE, MD 21030
Dentist (General Practice)
9727 GREENSIDE DR
COCKEYSVILLE, MD 21030
Dentist (Orthodontics and Dentofacial Orthopedics)
9727 GREENSIDE DR
COCKEYSVILLE, MD 21030
Dentist (General Practice)
9727 GREENSIDE DR, 101
COCKEYSVILLE, MD 21030
Dentist (Orthodontics and Dentofacial Orthopedics)
9727 GREENSIDE DR
COCKEYSVILLE, MD 21030
Dentist (General Practice)
9727 GREENSIDE DR
COCKEYSVILLE, MD 21030
Social Worker (Clinical)
9727 GREENSIDE DR
COCKEYSVILLE, MD 21030
Dentist (General Practice)
9727 GREENSIDE DR, SUITE 101
COCKEYSVILLE, MD 21030

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 Robert Park's NPI number?

The NPI number for Robert Park is 1063611747. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Robert Park located?

Robert Park practices at 9727 Greenside Dr, Cockeysville, MD 21030. The listed phone number is (410) 667-6404.

What is Robert Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Robert Park enrolled in Medicare?

No. Robert Park has opted out of Medicare through May 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Robert 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 8 other insurers list Robert 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 Robert Park was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.