NAM HEE AVA PARK DDS
NPI 1467756411
Dentist - General Practice in San Jose, CA

Q: What is Nam Hee Park's NPI number?

The NPI number for Nam Hee Park is 1467756411. It was assigned to this individual provider in the NPPES registry on January 5, 2011.

Q: What is Nam Hee Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nam Hee Park was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 January 05, 2011PECOS Enrolled

2060 ABORN RD STE 123, SAN JOSE, CA 95121(408) 729-9700 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2025, Mar 4, 2024, May 30, 2023 and 1 more (4 updates tracked since 2016).

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About Nam Hee Ava Park Dds NPPES

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

NAM HEE AVA PARK DDS (NPI 1467756411) is an individual general practice provider in San Jose, California, licensed in California (109144) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467756411

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameNAM HEE AVA PARKCredential: DDS

Location Address2060 ABORN RD STE 123San Jose, CA 95121-1584

Mailing Address40910 Fremont BlvdFremont, CA 94538-4375 · (510) 770-8040

Phone(408) 729-9700

Sole ProprietorNo

Enumeration DateJanuary 5, 2011

Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1467756411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · 109144✔ Licensed in CT · 010437✔ Licensed in NY · 056393✔ Licensed in NY · 056393-1

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.

2060 ABORN RD STE 123, San Jose, CA 95121

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Other Identifiers 1

Medicaid04401850NY

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)

Nam Hee Ava 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95121 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

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 Nam Hee Park's NPI number?

The NPI number for Nam Hee Park is 1467756411. It was assigned to this individual provider in the NPPES registry on January 5, 2011.

Where is Nam Hee Park located?

Nam Hee Park practices at 2060 Aborn Rd Ste 123, San Jose, CA 95121. The listed phone number is (408) 729-9700.

What is Nam Hee Park's specialty?

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

Is Nam Hee Park enrolled in Medicare?

Yes. Nam Hee Park is registered in the Medicare PECOS enrollment system.

What insurance does Nam Hee 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 7 other insurers list Nam Hee 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 Nam Hee Park was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.