DR. MYUNG KEE PARK DDS
NPI 1154847234
Dentist in Riverside, CA

Q: What is Myung Kee Park's NPI number?

The NPI number for Myung Kee Park is 1154847234. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Q: What is Myung Kee Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Myung Kee Park was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 21, 2017PECOS Enrolled

473 E ALESSANDRO BLVD # A, RIVERSIDE, CA 92508(951) 789-6886(951) 780-1998 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 8, 2023, Mar 17, 2018, Aug 21, 2017 (3 updates tracked since 2017).

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About Dr. Myung Kee Park Dds NPPES

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

DR. MYUNG KEE PARK DDS (NPI 1154847234) is an individual dentist in Riverside, California, licensed in California (101614) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154847234

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MYUNG KEE PARKCredential: DDS

Location Address473 E ALESSANDRO BLVD # ARiverside, CA 92508-6021

Mailing Address7360 Ayers Rock RdRiverside, CA 92508-6044 · (909) 524-6119

Phone(951) 789-6886

Fax(951) 780-1998

Sole ProprietorNo

Enumeration DateAugust 21, 2017

Last NPPES UpdateMarch 8, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2020

✔ NPI 1154847234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 101614

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.

473 E ALESSANDRO BLVD # A, Riverside, CA 92508

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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 Alabama, Blue Cross and Blue Shield of Montana 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)

Dr. Myung Kee 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 92508 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.

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 Myung Kee Park's NPI number?

The NPI number for Myung Kee Park is 1154847234. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Myung Kee Park located?

Myung Kee Park practices at 473 E Alessandro Blvd # A, Riverside, CA 92508. The listed phone number is (951) 789-6886.

What is Myung Kee Park's specialty?

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

Is Myung Kee Park enrolled in Medicare?

Yes. Myung Kee Park is registered in the Medicare PECOS enrollment system.

What insurance does Myung Kee Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, 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 Myung Kee 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 Myung Kee Park was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.