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OLIVIA JIN-YOUNG PARK D.D.S.
NPI 1982952198
Dentist in Shafter, CA

Active since August 20, 2012PECOS Enrolled
1110 E LERDO HWY # 200, SHAFTER, CA 93263(661) 746-6989 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 14, 2017 (3 updates tracked since 2017).

About Olivia Jin-young Park D.d.s. NPPES

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

OLIVIA JIN-YOUNG PARK D.D.S. (NPI 1982952198) is an individual dentist in Shafter, California, licensed in California (61769) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bakersfield.

NPPES Registry Identity

NPI1982952198
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameOLIVIA JIN-YOUNG PARKCredential: D.D.S.
Location Address1110 E LERDO HWY # 200Shafter, CA 93263-9415
Mailing Address1110 E Lerdo Hwy # 200Shafter, CA 93263-9415 · (661) 746-6989
Phone(661) 746-6989
Sole ProprietorNo
Enumeration DateAugust 20, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1982952198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 61769
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.
1110 E LERDO HWY # 200, Shafter, CA 93263
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Secondary Practice Location 1

Location 14401 Ming AveBakersfield, CA 93309-4817 · Phone (661) 397-7400

Other Identifiers 1

Other61769CA · California Dental Board

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 Montana 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)

Olivia Jin-young 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 93263 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
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.

CLEARVIEW OPTOMETRY CORP
Clinic/Center
1110 E LERDO HWY # 200
SHAFTER, CA 93263
Kern County (661) 746-6989

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 Olivia Park's NPI number?

The NPI number for Olivia Park is 1982952198. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Where is Olivia Park located?

Olivia Park practices at 1110 E Lerdo Hwy # 200, Shafter, CA 93263. The listed phone number is (661) 746-6989.

What is Olivia Park's specialty?

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

Is Olivia Park enrolled in Medicare?

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

What insurance does Olivia Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Olivia 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 Olivia Park was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.