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DR. IAN ANTHONY PARK DDS
NPI 1861494791
Dentist - General Practice in Minnetonka, MN

Active since August 11, 2005PECOS Enrolled
17705 HUTCHINS DR, SUITE 209, MINNETONKA, MN 55345(925) 474-8114(952) 474-5195 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ian Anthony Park Dds NPPES

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

DR. IAN ANTHONY PARK DDS (NPI 1861494791) is an individual general practice provider in Minnetonka, Minnesota, licensed in Minnesota (9986) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861494791
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IAN ANTHONY PARKCredential: DDS
Location Address17705 HUTCHINS DR, SUITE 209Minnetonka, MN 55345-4145
Mailing Address17705 Hutchins Dr, Suite 209Minnetonka, MN 55345-4145 · (925) 474-8114 · Fax (952) 474-5195
Phone(925) 474-8114
Fax(952) 474-5195
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861494791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 9986
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.
17705 HUTCHINS DR, Minnetonka, MN 55345
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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 Alabama 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. Ian Anthony 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 55345 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

DR. LORENE FREEHILL MD
Pediatrics
17705 HUTCHINS DR, SUITE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
MARY HOBBS MELAND MD
Pediatrics
17705 HUTCHINS DR
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. TRACY GOETZ HALL M.D.
Pediatrics
17705 HUTCHINS DR
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. MICHAEL JOHN GARVIS M.D.
Pediatrics
17705 HUTCHINS DR
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
MARIA MCGANNON
Nurse Practitioner (Pediatrics)
17705 HUTCHINS DR, SUITE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. MARK ROBERT JENSEN DDS
Dentist (Endodontics)
17705 HUTCHINS DR, #207
MINNETONKA, MN 55345
Hennepin County (952) 474-6600
DR. LAURA SHRAGER SALITERMAN M.D.
Pediatrics
17705 HUTCHINS DR, SUITE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. LARRY G. MANNEY M.D.
Pediatrics
17705 HUTCHINS DR, SUITE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300

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 Ian Park's NPI number?

The NPI number for Ian Park is 1861494791. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Ian Park located?

Ian Park practices at 17705 Hutchins Dr Suite 209, Minnetonka, MN 55345. The listed phone number is (925) 474-8114.

What is Ian Park's specialty?

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

Is Ian Park enrolled in Medicare?

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

What insurance does Ian Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Ian 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 Ian 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.