ETERN S PARK DDS, MD
NPI 1124289905
Dentist - Oral and Maxillofacial Surgery in Fargo, ND
About Etern S Park Dds, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETERN S PARK DDS, MD (NPI 1124289905) is an individual oral and maxillofacial surgery provider in Fargo, North Dakota, licensed in New York (053210) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
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 and accepts Medicare assignment
Etern S Park Dds, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Etern Park's NPI number?
The NPI number for Etern Park is 1124289905. It was assigned to this individual provider in the NPPES registry on June 24, 2008.
Where is Etern Park located?
Etern Park practices at 1717 University Dr S, Fargo, ND 58103. The listed phone number is (701) 234-2000.
What is Etern Park's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Etern Park enrolled in Medicare?
Yes. Etern Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Etern Park accept?
Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Etern 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.
Is Etern Park affiliated with any hospitals?
According to CMS data, Etern Park is affiliated with Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Etern Park was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
