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EUNJI PARK DDS
NPI 1962750166
Dentist in Manteca, CA

Active since August 17, 2012PECOS Enrolled
2288 DANIELS ST, MANTECA, CA 95337(808) 393-5737 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eunji Park Dds NPPES

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

EUNJI PARK DDS (NPI 1962750166) is an individual dentist in Manteca, California, licensed in California (61743) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962750166
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameEUNJI PARKCredential: DDS
Location Address2288 DANIELS STManteca, CA 95337
Mailing Address2288 Daniels StManteca, CA 95337-6706
Phone(808) 393-5737
Sole ProprietorNo
Enumeration DateAugust 17, 2012
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1962750166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 61743
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.
2288 DANIELS ST, Manteca, CA 95337
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Eunji 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 95337 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

AKSHDEEP KAUR RAKED
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
NAM NGOC DINH
Dentist
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
SPENCER KIM
Dentist (Pediatric Dentistry)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
DR. SEUNG JAE LEE D.M.D
Dentist
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
PUJA SHRESTHA DDS
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
DR. MITCHELL HONG DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
PHILIP XI ZHANG DDS
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
PETER NGUYEN PHAM DDS
Dentist
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610

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 Eunji Park's NPI number?

The NPI number for Eunji Park is 1962750166. It was assigned to this individual provider in the NPPES registry on August 17, 2012.

Where is Eunji Park located?

Eunji Park practices at 2288 Daniels St, Manteca, CA 95337. The listed phone number is (808) 393-5737.

What is Eunji Park's specialty?

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

Is Eunji Park enrolled in Medicare?

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

What insurance does Eunji Park accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Eunji 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 Eunji Park was last updated on September 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.