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MICHAEL Y PARK DMD
NPI 1457906257
Dentist - General Practice in Crofton, MD

Active since August 08, 2019PECOS Enrolled
1702 TRANSPORTATION BLVD STE F, CROFTON, MD 21114(410) 721-5000 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Nov 12, 2019, Aug 8, 2019 (3 updates tracked since 2019).

About Michael Y Park Dmd NPPES

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

MICHAEL Y PARK DMD (NPI 1457906257) is an individual general practice provider in Crofton, Maryland, licensed in Maryland (16989) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457906257
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL Y PARKCredential: DMD
Location Address1702 TRANSPORTATION BLVD STE FCrofton, MD 21114-2151
Mailing Address1702 Transportation Blvd Ste FCrofton, MD 21114-2151 · (267) 216-7590
Phone(410) 721-5000
Sole ProprietorNo
Enumeration DateAugust 8, 2019
Last NPPES UpdateApril 18, 20223 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1457906257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 16989
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1702 TRANSPORTATION BLVD STE F, Crofton, MD 21114
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Michael Y Park Dmd 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 21114 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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

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

SMILE PARK DENTAL LLC
Clinic/Center (Dental)
1702 TRANSPORTATION BLVD STE F
CROFTON, MD 21114
Anne Arundel County (410) 721-5000

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 1457906257. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Michael Park located?

Michael Park practices at 1702 Transportation Blvd Ste F, Crofton, MD 21114. The listed phone number is (410) 721-5000.

What is Michael Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 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 April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.