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ARIEL RACHEL PARK DMD
NPI 1619524857
Dentist - General Practice in Longview, WA

Active since August 22, 2019PECOS Enrolled
1057 12TH AVE, LONGVIEW, WA 98632(360) 414-1300(360) 636-4420 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2023, Aug 22, 2019 (2 updates tracked since 2019).

About Ariel Rachel Park Dmd NPPES

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

ARIEL RACHEL PARK DMD (NPI 1619524857) is an individual general practice provider in Longview, Washington, licensed in Washington (DE60978119) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619524857
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameARIEL RACHEL PARKCredential: DMD
Location Address1057 12TH AVELongview, WA 98632-2509
Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 414-1300
Phone(360) 414-1300
Fax(360) 636-4420
Sole ProprietorNo
Enumeration DateAugust 22, 2019
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1619524857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE60978119
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.
1057 12TH AVE, Longview, WA 98632
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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)

Ariel Rachel 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 98632 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

DIAN COOPER
Counselor (Mental Health)
1057 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 636-3892
SARA DERENGE ARNP
Nurse Practitioner (Women's Health)
1057 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 636-3892
PATRICIA S GOODMAN RD
Dietitian, Registered
1057 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-7740
LYNDSEY SMITH DENTAL HYGIENIST
Dental Hygienist
1057 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 414-1300
COWLITZ FAMILY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1057 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 636-3892
CHARLOTTE M BUTTON
Dietitian, Registered
1057 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-7740
DIANA SHIELDS ARNP
Nurse Practitioner (Family)
1057 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 636-3892
LISA CRUZ MSW
Social Worker
1057 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-7740

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 Ariel Park's NPI number?

The NPI number for Ariel Park is 1619524857. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Ariel Park located?

Ariel Park practices at 1057 12th Ave, Longview, WA 98632. The listed phone number is (360) 414-1300.

What is Ariel Park's specialty?

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

Is Ariel Park enrolled in Medicare?

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

What insurance does Ariel Park accept?

Health plans from BEST Life, 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 Ariel 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 Ariel Park was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.