BRETT PARKS D.D.S
NPI 1457985574
Dentist - Pediatric Dentistry in San Diego, CA

Q: What is Brett Parks's NPI number?

The NPI number for Brett Parks is 1457985574. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Q: What is Brett Parks's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Brett Parks was last updated on August 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 27, 2020PECOS Enrolled

7011 LINDA VISTA RD, SAN DIEGO, CA 92111(775) 450-8824 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2022, Feb 27, 2020 (2 updates tracked since 2020).

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About Brett Parks D.d.s NPPES

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

BRETT PARKS D.D.S (NPI 1457985574) is an individual pediatric dentistry provider in San Diego, California, licensed in California (107435) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1457985574

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameBRETT PARKSCredential: D.D.S

Location Address7011 LINDA VISTA RDSan Diego, CA 92111-6307

Mailing Address7011 Linda Vista RdSan Diego, CA 92111-6307 · (775) 450-8824

Phone(775) 450-8824

Sole ProprietorYes

Enumeration DateFebruary 27, 2020

Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration

NPPES CertifiedAugust 25, 2022

✔ NPI 1457985574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 107435

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7011 LINDA VISTA RD, San Diego, CA 92111

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Secondary Practice Location 1

Location 12780 Cardinal RdSan Diego, CA 92123-3353 · Phone (858) 463-3722

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Brett Parks 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 92111 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

SAN DIEGO FAMILY CARE

Clinic/Center (Federally Qualified Health Center (FQHC))