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KEVIN JARED PARKS DDS
NPI 1124381363
Dentist - General Practice in Wasilla, AK

Active since June 22, 2012Opted out of Medicare · through Jul 1, 2027
4501 E SNIDER DR, WASILLA, AK 99654(907) 376-8400 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Jared Parks Dds NPPES

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

KEVIN JARED PARKS DDS (NPI 1124381363) is an individual general practice provider in Wasilla, Alaska, licensed in Alaska (1419) and active in the NPI registry since June 2012. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1124381363
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEVIN JARED PARKSCredential: DDS
Location Address4501 E SNIDER DRWasilla, AK 99654-7604
Mailing Address4501 E Snider DrWasilla, AK 99654-7604 · (907) 376-8400
Phone(907) 376-8400
Sole ProprietorNo
Enumeration DateJune 22, 2012
✔ NPI 1124381363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AK · 1419
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.
4501 E SNIDER DR, Wasilla, AK 99654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Kevin Jared Parks Dds 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 July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. DEL JEAN DEDEKER DDS
Dentist
4501 E SNIDER DR
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-8400
DR. ANNEMARIE JOHNSON BENAGE D.D.S.
Dentist
4501 E SNIDER DR
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-8400
DR. MARK ROBERT BIRMINGHAM
Dentist (General Practice)
4501 E SNIDER DR
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-8400
AURORA DENTAL CARE
Dentist (General Practice)
4501 E SNIDER DR
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-8400
DR. STEPHEN W PRATT D.D.S.
Dentist (General Practice)
4501 E SNIDER DR
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-8400
AURORA DENTAL CLINIC, LLC
Dentist (General Practice)
4501 E SNIDER DR
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-8400

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 Kevin Parks's NPI number?

The NPI number for Kevin Parks is 1124381363. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Kevin Parks located?

Kevin Parks practices at 4501 E Snider Dr, Wasilla, AK 99654. The listed phone number is (907) 376-8400.

What is Kevin Parks's specialty?

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

Is Kevin Parks enrolled in Medicare?

No. Kevin Parks has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kevin Parks accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Alaska and 4 other insurers list Kevin Parks 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 Kevin Parks was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.