DR. JOSEPH PARK DDS, MD
NPI 1639532104
Dentist - Oral and Maxillofacial Surgery in Fort Bragg, NC

Active since April 01, 2016PECOS Enrolled
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-6000 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2025, Dec 1, 2025, May 8, 2025 and 4 more (7 updates tracked since 2016).

About Dr. Joseph Park Dds, Md NPPES

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

DR. JOSEPH PARK DDS, MD (NPI 1639532104) is an individual oral and maxillofacial surgery provider in Fort Bragg, North Carolina, licensed in North Carolina (13022) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639532104
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOSEPH PARKCredential: DDS, MD
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001
Sole ProprietorNo
Enumeration DateApril 1, 2016
Last NPPES UpdateDecember 8, 20257 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1639532104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NC · 13022
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 13022 (NC)
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310

Accepted 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. Joseph Park Dds, Md 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 28310 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

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 Joseph Park's NPI number?

The NPI number for Joseph Park is 1639532104. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Joseph Park located?

Joseph Park practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-6000.

What is Joseph Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Joseph Park enrolled in Medicare?

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

What insurance does Joseph 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 NC and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Joseph 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 Joseph Park was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.