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CHARLES C PARK D.D.S.
NPI 1891865499
Dentist in Santa Ana, CA

Active since November 09, 2006PECOS Enrolled
1702 S MAIN ST, SANTA ANA, CA 92707(714) 972-2828(714) 972-2829 Get Directions Write a Review

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

Record update history: May 8, 2026, Jan 5, 2017 (2 updates tracked since 2017).

About Charles C Park D.d.s. NPPES

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

CHARLES C PARK D.D.S. (NPI 1891865499) is an individual dentist in Santa Ana, California, licensed in California (50087) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891865499
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCHARLES C PARKCredential: D.D.S.
Location Address1702 S MAIN STSanta Ana, CA 92707-1836
Mailing Address1702 S Main StSanta Ana, CA 92707-1836 · (714) 972-2828 · Fax (714) 972-2829
Phone(714) 972-2828
Fax(714) 972-2829
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1891865499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 50087
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.
1702 S MAIN ST, Santa Ana, CA 92707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Charles C Park D.d.s. 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 92707 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

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

ARCHUNG & LAGATTA DDS, INC
Dentist (General Practice)
1702 S MAIN ST
SANTA ANA, CA 92707
Orange County (714) 343-6114

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 Charles Park's NPI number?

The NPI number for Charles Park is 1891865499. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Charles Park located?

Charles Park practices at 1702 S Main St, Santa Ana, CA 92707. The listed phone number is (714) 972-2828.

What is Charles Park's specialty?

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

Is Charles Park enrolled in Medicare?

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

What insurance does Charles Park accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 12 other insurers list Charles 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 Charles Park was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.