JAMES M PARK DDS - NPI 1104971704 - Dentist in Chino Hills, CA

Q: What is James Park's NPI number?

The NPI number for James Park is 1104971704. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is James Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Park was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About James M Park Dds NPPES

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

JAMES M PARK DDS (NPI 1104971704) is an individual general practice provider in Chino Hills, California, licensed in California (54296) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104971704

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJAMES M PARKCredential: DDS

Location Address3110 CHINO AVE, SUITE 240Chino Hills, CA 91709

Mailing Address3110 Chino Ave, Suite 240Chino Hills, CA 91709 · (909) 464-2682 · Fax (909) 548-4164

Phone(909) 464-2682

Fax(909) 548-4164

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104971704 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 · 54296

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.

3110 CHINO AVE, Chino Hills, CA 91709

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James M 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 91709 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.