DR. MICHAEL H PARK DDS
NPI 1194270231
Dentist - Pediatric Dentistry in Palos Verdes Estates, CA

Q: What is Michael Park's NPI number?

The NPI number for Michael Park is 1194270231. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Q: What is Michael Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Michael Park was last updated on June 2, 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.

Active since August 18, 2016PECOS Enrolled

702 VIA DEL MONTE, PALOS VERDES ESTATES, CA 90274(224) 595-9132 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Jun 28, 2017, Aug 18, 2016 (3 updates tracked since 2016).

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About Dr. Michael H Park Dds NPPES

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

DR. MICHAEL H PARK DDS (NPI 1194270231) is an individual pediatric dentistry provider in Palos Verdes Estates, California, licensed in California (106120) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194270231

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. MICHAEL H PARKCredential: DDS

Location Address702 VIA DEL MONTEPalos Verdes Estates, CA 90274-1612

Mailing Address702 Via Del MontePalos Verdes Estates, CA 90274-1612 · (224) 595-9132

Phone(224) 595-9132

Sole ProprietorYes

Enumeration DateAugust 18, 2016

Last NPPES UpdateJune 2, 20213 updates tracked since enumeration

NPPES CertifiedJune 2, 2021

✔ NPI 1194270231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in CA · 106120✔ Licensed in NJ · 22DI02672200

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

702 VIA DEL MONTE, Palos Verdes Estates, CA 90274

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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, BEST Life, 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. Michael H 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 90274 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 Michael Park's NPI number?

The NPI number for Michael Park is 1194270231. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Where is Michael Park located?

Michael Park practices at 702 Via Del Monte, Palos Verdes Estates, CA 90274. The listed phone number is (224) 595-9132.

What is Michael Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Michael Park enrolled in Medicare?

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

What insurance does Michael Park 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 6 other insurers list Michael 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 Michael Park was last updated on June 2, 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.