TINA KEUN NAN PARK D.D.S., M.S.
NPI 1407200694
Dentist - Orthodontics and Dentofacial Orthopedics in Seattle, WA
About Tina Keun Nan Park D.d.s., M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA KEUN NAN PARK D.D.S., M.S. (NPI 1407200694) is an individual orthodontics and dentofacial orthopedics provider in Seattle, Washington, licensed in California (63253) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Secondary Practice Locations 2
Accepted 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)
Tina Keun Nan Park D.d.s., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98133
SEATTLE, WA 98133
SEATTLE, WA 98133
SEATTLE, WA 98133
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 Tina Park's NPI number?
The NPI number for Tina Park is 1407200694. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is Tina Park located?
Tina Park practices at 11011 Meridian Ave N Ste 104, Seattle, WA 98133. The listed phone number is (855) 433-6825.
What is Tina Park's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is Tina Park enrolled in Medicare?
Yes. Tina Park is registered in the Medicare PECOS enrollment system.
What insurance does Tina Park accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Tina 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 Tina Park was last updated on November 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
