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PAUL PARK
NPI 1215311832
Dentist in Twentynine Palms, CA

Active since July 14, 2015PECOS Enrolled
72724 29 PALMS HWY STE 102, TWENTYNINE PALMS, CA 92277(760) 367-9531 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Park NPPES

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

PAUL PARK (NPI 1215311832) is an individual dentist in Twentynine Palms, California, licensed in California (64589) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215311832
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePAUL PARK
Location Address72724 29 PALMS HWY STE 102Twentynine Palms, CA 92277-2459
Mailing Address72724 29 Palms Hwy Ste 102Twentynine Palms, CA 92277-2459
Phone(760) 367-9531
Sole ProprietorNo
Enumeration DateJuly 14, 2015
✔ NPI 1215311832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 64589
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.
72724 29 PALMS HWY STE 102, Twentynine Palms, CA 92277
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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 Alabama 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)

Paul 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 92277 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.

Other Providers at the Same Location NPPES 3

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

KWANG KEE HAN DDS
Dentist (General Practice)
72724 29 PALMS HWY STE 102
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-7645
HAN AND KIM DENTAL CORP
Dentist (General Practice)
72724 29 PALMS HWY STE 102
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-7645
RONALD E. GREEN, DDS. INC.
Dentist (General Practice)
72724 29 PALMS HWY STE 102
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-6755

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 Paul Park's NPI number?

The NPI number for Paul Park is 1215311832. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Paul Park located?

Paul Park practices at 72724 29 Palms Hwy Ste 102, Twentynine Palms, CA 92277. The listed phone number is (760) 367-9531.

What is Paul Park's specialty?

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

Is Paul Park enrolled in Medicare?

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

What insurance does Paul Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Paul 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 Paul Park was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.