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ZIVIN PARK
NPI 1124409560
Dentist in Portage, MI

Active since June 11, 2015PECOS Enrolled
5200 S WESTNEDGE AVE, PORTAGE, MI 49002(269) 382-6656 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zivin Park NPPES

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

ZIVIN PARK (NPI 1124409560) is an individual dentist in Portage, Michigan, licensed in Michigan (2901021641) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124409560
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameZIVIN PARK
Location Address5200 S WESTNEDGE AVEPortage, MI 49002
Mailing AddressPmb 121-10001Saipan, MP 96950 · (670) 235-2378
Phone(269) 382-6656
Sole ProprietorNo
Enumeration DateJune 11, 2015
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1124409560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901021641
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5200 S WESTNEDGE AVE, Portage, MI 49002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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

✔

Enrolled in Medicare (PECOS)

Zivin 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 49002 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 5

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

DENTAL DREAMS PLLC
Dentist (General Practice)
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Kalamazoo County (269) 382-6656
DAMIEN BIZEAU DDS
Dentist (General Practice)
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Kalamazoo County (269) 382-6656
AOUA COULIBALY DDS
Dentist
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Kalamazoo County (269) 382-6656
LOURDES C BRIZARD DMD
Dentist
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Kalamazoo County (269) 382-6656
DR. MICHAEL C SCHWER DDS
Dentist
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Kalamazoo County (269) 382-6656

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 Zivin Park's NPI number?

The NPI number for Zivin Park is 1124409560. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Zivin Park located?

Zivin Park practices at 5200 S Westnedge Ave, Portage, MI 49002. The listed phone number is (269) 382-6656.

What is Zivin Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Zivin Park enrolled in Medicare?

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

What insurance does Zivin Park accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Zivin 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 Zivin Park was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.