DR. JINTAE PARK DDS
NPI 1629110747
Dentist in Reno, NV

Q: What is Jintae Park's NPI number?

The NPI number for Jintae Park is 1629110747. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Jintae Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jintae Park was last updated on January 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 February 13, 2007PECOS Enrolled

6795 S VIRGINIA ST, E, RENO, NV 89511(775) 853-0503(775) 853-0504 Get Directions Write a Review

NPPES record last updated: January 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jintae Park Dds NPPES

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

DR. JINTAE PARK DDS (NPI 1629110747) is an individual dentist in Reno, Nevada, licensed in Nevada (5678) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629110747

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JINTAE PARKCredential: DDS

Location Address6795 S VIRGINIA ST, EReno, NV 89511-1171

Mailing Address815 Kiley Ranch Pkwy, 2901Sparks, NV 89436-4066 · (626) 434-6150 · Fax (775) 657-8619

Phone(775) 853-0503

Fax(775) 853-0504

Sole ProprietorNo

Enumeration DateFebruary 13, 2007

Last NPPES UpdateJanuary 9, 2010

✔ NPI 1629110747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in NV · 5678✔ Licensed in CA · 54686

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6795 S VIRGINIA ST, Reno, NV 89511

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Other Identifiers 1

MedicaidD54686CA

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. Jintae 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 89511 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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 Jintae Park's NPI number?

The NPI number for Jintae Park is 1629110747. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Jintae Park located?

Jintae Park practices at 6795 S Virginia St E, Reno, NV 89511. The listed phone number is (775) 853-0503.

What is Jintae Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jintae Park enrolled in Medicare?

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

What insurance does Jintae 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, HRI Dental & Vision and Humana and 3 other insurers list Jintae 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 Jintae Park was last updated on January 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.