IVAN PAK DDS
NPI 1134629900
Dentist - Endodontics in Garden City, NY

Active since February 18, 2018PECOS Enrolled
520 FRANKLIN AVE STE 112, GARDEN CITY, NY 11530(516) 746-3636 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Feb 18, 2018 (2 updates tracked since 2018).

About Ivan Pak Dds NPPES

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

IVAN PAK DDS (NPI 1134629900) is an individual endodontics provider in Garden City, New York, licensed in New York (062441) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134629900
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameIVAN PAKCredential: DDS
Location Address520 FRANKLIN AVE STE 112Garden City, NY 11530-5814
Mailing Address27005 76th AveNew Hyde Park, NY 11040-1402
Sole ProprietorNo
Enumeration DateFebruary 18, 2018
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1134629900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in NY · 062441
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
520 FRANKLIN AVE STE 112, Garden City, NY 11530

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 (PECOS)

Ivan Pak 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 11530 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 2

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

Dentist (Endodontics)
520 FRANKLIN AVE STE 112
GARDEN CITY, NY 11530
Nurse Practitioner (Adult Health)
520 FRANKLIN AVE STE 112
GARDEN CITY, NY 11530

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 Ivan Pak's NPI number?

The NPI number for Ivan Pak is 1134629900. It was assigned to this individual provider in the NPPES registry on February 18, 2018.

Where is Ivan Pak located?

Ivan Pak practices at 520 Franklin Ave Ste 112, Garden City, NY 11530. The listed phone number is (516) 746-3636.

What is Ivan Pak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Ivan Pak enrolled in Medicare?

Yes. Ivan Pak is registered in the Medicare PECOS enrollment system.

What insurance does Ivan Pak accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ivan Pak 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 Ivan Pak was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.