DR. CLINTON H PARK DDS
NPI 1750489266
Dentist - General Practice in Encinitas, CA

Active since September 20, 2006PECOS Enrolled
1340 ENCINITAS BLVD, STE. 100, ENCINITAS, CA 92024(760) 942-3900(760) 942-3909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Clinton H Park Dds NPPES

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

DR. CLINTON H PARK DDS (NPI 1750489266) is an individual general practice provider in Encinitas, California, licensed in California (48531) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750489266
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLINTON H PARKCredential: DDS
Location Address1340 ENCINITAS BLVD, STE. 100Encinitas, CA 92024-2844
Mailing Address2860 Michelle, 2nd FloorIrvine, CA 92606-1009 · (714) 508-3600 · Fax (714) 368-2092
Fax(760) 942-3909
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750489266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 48531
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.
1340 ENCINITAS BLVD, Encinitas, CA 92024

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. Clinton H 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 92024 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Dentist (General Practice)
1340 ENCINITAS BLVD, STE. 100
ENCINITAS, CA 92024
Dentist (General Practice)
1340 ENCINITAS BLVD, SUITE 100
ENCINITAS, CA 92024
Dentist (General Practice)
1340 ENCINITAS BLVD
ENCINITAS, CA 92024

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 Clinton Park's NPI number?

The NPI number for Clinton Park is 1750489266. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Clinton Park located?

Clinton Park practices at 1340 Encinitas Blvd Ste. 100, Encinitas, CA 92024. The listed phone number is (760) 942-3900.

What is Clinton Park's specialty?

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

Is Clinton Park enrolled in Medicare?

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

What insurance does Clinton 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 5 other insurers list Clinton 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 Clinton Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.