1. Home
  2. Directory
  3. New York
  4. Hogansburg
  5. Dentist
  6. NPI Profile

DR. JOSEPH S PARK DDS
NPI 1396736989
Dentist in Hogansburg, NY

Active since November 02, 2005PECOS Enrolled
412 STATE ROUTE 37, HOGANSBURG, NY 13655(518) 358-3141(518) 358-2797 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph S Park Dds NPPES

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

DR. JOSEPH S PARK DDS (NPI 1396736989) is an individual dentist in Hogansburg, New York, licensed in New York (0511251) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396736989
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOSEPH S PARKCredential: DDS
Location Address412 STATE ROUTE 37Hogansburg, NY 13655-3109
Mailing Address412 State Route 37Hogansburg, NY 13655-3109 · (518) 358-3141 · Fax (518) 358-2797
Phone(518) 358-3141
Fax(518) 358-2797
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateMarch 25, 2015
✔ NPI 1396736989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 0511251
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.
412 STATE ROUTE 37, Hogansburg, NY 13655
Open in Google Maps ↗

Other Identifiers 4

Medicaid44007027NM
Medicaid03078080NY
Medicaid852708AZ
Medicaid89875818CO

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph S 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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Regis Mohawk Tribe
Same address
Federally Qualified Health Center (FQHC)
412 STATE ROUTE 37
Akwesasne, NY 13655
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1457344558 (518) 358-3141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13655 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

DEBORAH A FENT RDH
Dental Hygienist
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
ALYSSA N MOORE PA-C
Physician Assistant
412 STATE ROUTE 37
HOGANSBURG, NY 13655
Franklin County (518) 358-3141
MR. ZACHARY JOSEPH SMITH PA
Physician Assistant
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
MISS ANITA M. PLANN MPC
Counselor (Mental Health)
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
ST REGIS MOHAWK TRIBE
Clinic/Center (Federally Qualified Health Center (FQHC))
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
DR. BENSON J KELLY MD
Family Medicine
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
DR. WILLIAM R LATREILLE JR. M.D.
Internal Medicine
412 STATE ROUTE 37
HOGANSBURG, NY 13655
Franklin County (518) 358-3141
THOMAS ALBERT SAXBY
Pharmacist
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141

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 Joseph Park's NPI number?

The NPI number for Joseph Park is 1396736989. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Joseph Park located?

Joseph Park practices at 412 State Route 37, Hogansburg, NY 13655. The listed phone number is (518) 358-3141.

What is Joseph Park's specialty?

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

Is Joseph Park enrolled in Medicare?

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

Which organization bills Medicare for Joseph Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Park reassigns Medicare benefits to St Regis Mohawk Tribe (Akwesasne, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph 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 Joseph 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 Joseph Park was last updated on March 25, 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.