DR. GRACE PARK D.D.S
NPI 1497150999
Dentist - General Practice in Surprise, AZ

Q: What is Grace Park's NPI number?

The NPI number for Grace Park is 1497150999. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Q: What is Grace 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 Grace Park was last updated on October 27, 2014. 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.

Active since October 27, 2014PECOS Enrolled

13869 W BELL RD, SURPRISE, AZ 85374(623) 584-4015 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Grace Park D.d.s NPPES

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

DR. GRACE PARK D.D.S (NPI 1497150999) is an individual general practice provider in Surprise, Arizona, licensed in Arizona (D009068) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497150999

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GRACE PARKCredential: D.D.S

Location Address13869 W BELL RDSurprise, AZ 85374-2468

Mailing Address14245 W Boca Raton RdSurprise, AZ 85379-8612

Phone(623) 584-4015

Sole ProprietorYes

Enumeration DateOctober 27, 2014

✔ NPI 1497150999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · D009068

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.

13869 W BELL RD, Surprise, AZ 85374

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Dr. Grace Park 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 85374 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 3

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

CATHERINE ELIZABETH ZOTOVICH DNP, APRN FNP-C

Nurse Practitioner (Family)

13869 W BELL RD
SURPRISE, AZ 85374

Maricopa County (623) 600-4466

DR. ROBERT LEWIS GROESBECK D.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

13869 W BELL RD, STE 103
SURPRISE, AZ 85374

Maricopa County (623) 584-4015

MAYA YASSIN

Dentist

13869 W BELL RD
SURPRISE, AZ 85374

Maricopa County (623) 584-4015

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 Grace Park's NPI number?

The NPI number for Grace Park is 1497150999. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Grace Park located?

Grace Park practices at 13869 W Bell Rd, Surprise, AZ 85374. The listed phone number is (623) 584-4015.

What is Grace Park's specialty?

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

Is Grace Park enrolled in Medicare?

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

What insurance does Grace 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, Guardian and HRI Dental & Vision and 3 other insurers list Grace 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 Grace Park was last updated on October 27, 2014. 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.