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DR. JONGHAN PARK DMD
NPI 1902131238
Dentist in Fountain Hills, AZ

Active since October 05, 2009PECOS Enrolled
16605 E PALISADES BLVD STE 112, FOUNTAIN HILLS, AZ 85268(480) 837-2000(480) 837-2078 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2020, May 14, 2020 (2 updates tracked since 2020).

About Dr. Jonghan Park Dmd NPPES

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

DR. JONGHAN PARK DMD (NPI 1902131238) is an individual dentist in Fountain Hills, Arizona, licensed in Florida (18807) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902131238
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JONGHAN PARKCredential: DMD
Location Address16605 E PALISADES BLVD STE 112Fountain Hills, AZ 85268-3716
Mailing Address16605 E Palisades Blvd Ste 112Fountain Hills, AZ 85268-3716 · (480) 837-2000 · Fax (480) 837-2078
Phone(480) 837-2000
Fax(480) 837-2078
Sole ProprietorNo
Enumeration DateOctober 5, 2009
Last NPPES UpdateJune 26, 20202 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1902131238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 18807
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.
16605 E PALISADES BLVD STE 112, Fountain Hills, AZ 85268
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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. Jonghan Park Dmd 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 85268 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

ANTHONY REESE DMD
Dentist
16605 E PALISADES BLVD STE 112
FOUNTAIN HILLS, AZ 85268
Maricopa County (480) 837-2000

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 Jonghan Park's NPI number?

The NPI number for Jonghan Park is 1902131238. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Jonghan Park located?

Jonghan Park practices at 16605 E Palisades Blvd Ste 112, Fountain Hills, AZ 85268. The listed phone number is (480) 837-2000.

What is Jonghan Park's specialty?

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

Is Jonghan Park enrolled in Medicare?

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

What insurance does Jonghan Park accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Jonghan 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 Jonghan Park was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.