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DR. JIN PARK DDS
NPI 1851690861
Dentist - General Practice in Granada Hills, CA

Active since March 17, 2011PECOS Enrolled
17526 CHATSWORTH ST, GRANADA HILLS, CA 91344(818) 832-2828(818) 832-2827 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jin Park Dds NPPES

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

DR. JIN PARK DDS (NPI 1851690861) is an individual general practice provider in Granada Hills, California, licensed in California (54066) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851690861
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JIN PARKCredential: DDS
Location Address17526 CHATSWORTH STGranada Hills, CA 91344-5719
Mailing Address17526 Chatsworth StGranada Hills, CA 91344-5719 · (818) 832-2828 · Fax (818) 832-2827
Phone(818) 832-2828
Fax(818) 832-2827
Sole ProprietorYes
Enumeration DateMarch 17, 2011
✔ NPI 1851690861 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 · 54066
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.
17526 CHATSWORTH ST, Granada Hills, CA 91344
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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. Jin 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 91344 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DA YUNG LISA YEO DDS
Dentist (General Practice)
17526 CHATSWORTH ST
GRANADA HILLS, CA 91344
Los Angeles County (818) 832-2828
DR. DONG KEUN PARK D.D.S
Dentist (General Practice)
17526 CHATSWORTH ST
GRANADA HILLS, CA 91344
Los Angeles County (818) 832-2828
DR. ERIN LEE DDS
Dentist
17526 CHATSWORTH ST
GRANADA HILLS, CA 91344
Los Angeles County (818) 832-2828
DR. KYUUN LEE DDS
Dentist (General Practice)
17526 CHATSWORTH ST
GRANADA HILLS, CA 91344
Los Angeles County (818) 832-2828

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 Jin Park's NPI number?

The NPI number for Jin Park is 1851690861. It was assigned to this individual provider in the NPPES registry on March 17, 2011.

Where is Jin Park located?

Jin Park practices at 17526 Chatsworth St, Granada Hills, CA 91344. The listed phone number is (818) 832-2828.

What is Jin Park's specialty?

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

Is Jin Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jin Park was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.