DR. CHAN HEE PARK DDS
NPI 1811661648
Dentist - General Practice in Pasadena, CA

Q: What is Chan Hee Park's NPI number?

The NPI number for Chan Hee Park is 1811661648. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Chan Hee 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 Chan Hee Park was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 05, 2021PECOS Enrolled

1812 LINDA VISTA AVE, PASADENA, CA 91103(213) 703-3481 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Chan Hee Park Dds NPPES

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

DR. CHAN HEE PARK DDS (NPI 1811661648) is an individual general practice provider in Pasadena, California, licensed in California (106426) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811661648

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHAN HEE PARKCredential: DDS

Location Address1812 LINDA VISTA AVEPasadena, CA 91103-1149

Mailing Address1812 Linda Vista AvePasadena, CA 91103-1149 · (213) 703-3481

Phone(213) 703-3481

Sole ProprietorNo

Enumeration DateAugust 5, 2021

NPPES CertifiedAugust 5, 2021

✔ NPI 1811661648 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 · 106426

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.

1812 LINDA VISTA AVE, Pasadena, CA 91103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Chan Hee 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 91103 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 Chan Hee Park's NPI number?

The NPI number for Chan Hee Park is 1811661648. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Chan Hee Park located?

Chan Hee Park practices at 1812 Linda Vista Ave, Pasadena, CA 91103. The listed phone number is (213) 703-3481.

What is Chan Hee Park's specialty?

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

Is Chan Hee Park enrolled in Medicare?

Yes. Chan Hee Park is registered in the Medicare PECOS enrollment system.

What insurance does Chan Hee 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 4 other insurers list Chan Hee 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 Chan Hee Park was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.