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EDWIN M H PARK DDS
NPI 1851301998
Dentist in Newbury Park, CA

Active since August 09, 2006Opted out of Medicare · through Mar 18, 2027
95 N REINO ROAD, NEWBURY PARK, CA 91320(805) 498-6640(805) 498-6640 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edwin M H Park Dds NPPES

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

EDWIN M H PARK DDS (NPI 1851301998) is an individual dentist in Newbury Park, California, licensed in California (19375) and active in the NPI registry since August 2006. He has opted out of Medicare through March 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851301998
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameEDWIN M H PARKCredential: DDS
Location Address95 N REINO ROADNewbury Park, CA 91320-3708
Mailing Address95 N Reino RoadNewbury Park, CA 91320-3708 · (805) 498-6640 · Fax (805) 498-6640
Phone(805) 498-6640
Fax(805) 498-6640
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 17, 2012
✔ NPI 1851301998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 19375
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.
95 N REINO ROAD, Newbury Park, CA 91320
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Edwin M H Park Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 18, 2015 through March 18, 2027.

Opt-Out Effective DateMarch 18, 2015
Opt-Out In Effect ThroughMarch 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91320 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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 Edwin Park's NPI number?

The NPI number for Edwin Park is 1851301998. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Edwin Park located?

Edwin Park practices at 95 N Reino Road, Newbury Park, CA 91320. The listed phone number is (805) 498-6640.

What is Edwin Park's specialty?

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

Is Edwin Park enrolled in Medicare?

No. Edwin Park has opted out of Medicare through March 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edwin Park was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.