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CHIN W. PARK
NPI 1063904449
Dentist - General Practice in Jacksonville, FL

Active since June 01, 2018PECOS Enrolled
10601 SAN JOSE BLVD STE 117, JACKSONVILLE, FL 32257(904) 483-3027 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chin W. Park NPPES

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

CHIN W. PARK (NPI 1063904449) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN23386) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063904449
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHIN W. PARK
Location Address10601 SAN JOSE BLVD STE 117Jacksonville, FL 32257-6267
Mailing Address10601 San Jose Blvd Ste 117Jacksonville, FL 32257-6267
Phone(904) 483-3027
Sole ProprietorNo
Enumeration DateJune 1, 2018
✔ NPI 1063904449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN23386
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.
10601 SAN JOSE BLVD STE 117, Jacksonville, FL 32257
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield 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)

Chin W. Park 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 32257 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

JUHI GOYAL DMD
Dentist (General Practice)
10601 SAN JOSE BLVD STE 117
JACKSONVILLE, FL 32257
Duval County (904) 483-3027
DR. PAUL M MILLER D.M.D.
Dentist (General Practice)
10601 SAN JOSE BLVD STE 117
JACKSONVILLE, FL 32257
Duval County (904) 483-3027
ANDREW H. LAFONT DDS
Dentist (General Practice)
10601 SAN JOSE BLVD STE 117
JACKSONVILLE, FL 32257
Duval County (904) 483-3027
FRANCIS LLANOS ALIP DMD
Dentist (General Practice)
10601 SAN JOSE BLVD STE 117
JACKSONVILLE, FL 32257
Duval County (904) 483-3027

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 Chin Park's NPI number?

The NPI number for Chin Park is 1063904449. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Chin Park located?

Chin Park practices at 10601 San Jose Blvd Ste 117, Jacksonville, FL 32257. The listed phone number is (904) 483-3027.

What is Chin Park's specialty?

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

Is Chin Park enrolled in Medicare?

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

What insurance does Chin Park accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Chin 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 Chin Park was last updated on June 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.