DR. SUSAN MEKYUNG PARK D.D.S.
NPI 1306052683
Dentist - Periodontics in Hillsboro, OR

Q: What is Susan Park's NPI number?

The NPI number for Susan Park is 1306052683. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Susan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Susan Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 15, 2007PECOS Enrolled

363 SE 4TH AVE, HILLSBORO, OR 97123(503) 640-1313 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Susan Mekyung Park D.d.s. NPPES

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

DR. SUSAN MEKYUNG PARK D.D.S. (NPI 1306052683) is an individual periodontics provider in Hillsboro, Oregon, licensed in Oregon (D8866) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306052683

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. SUSAN MEKYUNG PARKCredential: D.D.S.

Location Address363 SE 4TH AVEHillsboro, OR 97123-4281

Mailing Address1255 Nw 9th Ave Apt 803Portland, OR 97209-2896 · (503) 320-7288

Phone(503) 640-1313

Sole ProprietorNo

Enumeration DateMay 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306052683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in OR · D8866

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

363 SE 4TH AVE, Hillsboro, OR 97123

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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. Susan Mekyung Park D.d.s. 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 97123 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.

MICHAEL MATSUDA DDS, PC

Dentist (Periodontics)

363 SE 4TH AVE
HILLSBORO, OR 97123

Washington County (503) 640-1313

DR. MICHAEL LOREN MATSUDA DDS

Dentist (Periodontics)

363 SE 4TH AVE
HILLSBORO, OR 97123

Washington County (503) 640-1313

MR. MELVIN L. MATSUDA D.D.S.

Dentist (Periodontics)

363 SE 4TH AVE
HILLSBORO, OR 97123

Washington County (503) 640-1313

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 Susan Park's NPI number?

The NPI number for Susan Park is 1306052683. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Susan Park located?

Susan Park practices at 363 SE 4th Ave, Hillsboro, OR 97123. The listed phone number is (503) 640-1313.

What is Susan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Susan Park enrolled in Medicare?

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

What insurance does Susan 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 10 other insurers list Susan 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 Susan Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.