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DR. DAVID S PARK DDS, MPH
NPI 1942410501
Dentist - General Practice in Rancho Cordova, CA

Active since May 23, 2007PECOS Enrolled
10390 COLOMA RD STE A, RANCHO CORDOVA, CA 95670(916) 368-0440(916) 368-0440 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David S Park Dds, Mph NPPES

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

DR. DAVID S PARK DDS, MPH (NPI 1942410501) is an individual general practice provider in Rancho Cordova, California, licensed in California (53724) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942410501
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID S PARKCredential: DDS, MPH
Location Address10390 COLOMA RD STE ARancho Cordova, CA 95670-2152
Mailing Address29 Via Del CieloRancho Palos Verdes, CA 90275-2511 · (310) 403-1117 · Fax (310) 403-1117
Phone(916) 368-0440
Fax(916) 368-0440
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateNovember 27, 2013
✔ NPI 1942410501 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 · 53724
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.
10390 COLOMA RD STE A, Rancho Cordova, CA 95670
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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. David S Park Dds, Mph 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 95670 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 8

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

RC DENTAL GROUP
Dentist
10390 COLOMA RD STE A
RANCHO CORDOVA, CA 95670
Sacramento County (916) 368-0440
SHERA SISTRUNK
Behavior Analyst
10390 COLOMA RD STE A
RANCHO CORDOVA, CA 95670
Sacramento County (866) 281-9088
SHIVA LYDON
Behavior Analyst
10390 COLOMA RD STE A
RANCHO CORDOVA, CA 95670
Sacramento County (877) 910-6538
JULIE ANN BOIZOT
Behavior Analyst
10390 COLOMA RD STE A
RANCHO CORDOVA, CA 95670
Sacramento County (877) 910-6538
DAVID PARK DDS INC
Dentist
10390 COLOMA RD STE A
RANCHO CORDOVA, CA 95670
Sacramento County (916) 368-0440
DESTINY MYISHA PARKER
Assistant Behavior Analyst
10390 COLOMA RD STE A
RANCHO CORDOVA, CA 95670
Sacramento County (877) 910-6538
BRIANNA JASMIN TABOFUNDA CORONA
Behavior Technician
10390 COLOMA RD STE A
RANCHO CORDOVA, CA 95670
Sacramento County (877) 910-6538
ALYSSA DAWN REHART
Behavior Analyst
10390 COLOMA RD STE A
RANCHO CORDOVA, CA 95670
Sacramento County (916) 214-2976

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 David Park's NPI number?

The NPI number for David Park is 1942410501. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is David Park located?

David Park practices at 10390 Coloma Rd Ste A, Rancho Cordova, CA 95670. The listed phone number is (916) 368-0440.

What is David Park's specialty?

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

Is David Park enrolled in Medicare?

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

What insurance does David Park accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list David 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 David Park was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.