What is Zivin Park's NPI number?

Zivin Park's National Provider Identifier (NPI) is 1124409560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Zivin Park's specialty?

Zivin Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Zivin Park located?

Zivin Park's practice location on file with NPPES is 5200 S Westnedge Ave, Portage, MI 49002.

What is Zivin Park's phone number?

The practice phone number listed in the NPPES registry for Zivin Park is (269) 382-6656.

Does Zivin Park accept Medicare?

Zivin Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Zivin Park's NPI active?

Yes — Zivin Park's NPI (1124409560) is active in the NPPES registry as of the last update on 2021-03-26.

IndividualActiveAccepts Medicare

Zivin Park

NPI 1124409560 · Dentist · Portage, MI

Zivin Park is a Dentist provider in Portage, MI (NPI 1124409560).

Provider details

NPI number: 1124409560
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: No
License: 2901021641 (MI)

Practice location

5200 S Westnedge Ave

Portage, MI 49002

Phone: (269) 382-6656

Street-level locationGet directions

More MI providers

Mailing address

Pmb 121-10001

Saipan, MP 96950

Specialties & taxonomies

DentistPrimary122300000XLicense 2901021641 (MI)
Dental Providers

Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(78/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
11 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
1 documented practice location
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$175 across 8 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Enumerated: 2015-06-11
Last updated: 2021-03-26
Certified: 2021-03-04

Frequently asked questions

What is Zivin Park's NPI number?: Zivin Park's National Provider Identifier (NPI) is 1124409560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Zivin Park's specialty?: Zivin Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
Where is Zivin Park located?: Zivin Park's practice location on file with NPPES is 5200 S Westnedge Ave, Portage, MI 49002.
What is Zivin Park's phone number?: The practice phone number listed in the NPPES registry for Zivin Park is (269) 382-6656.
Does Zivin Park accept Medicare?: Zivin Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Zivin Park's NPI active?: Yes — Zivin Park's NPI (1124409560) is active in the NPPES registry as of the last update on 2021-03-26.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Transparency — industry payments

Frequently asked questions