Individual provider Active NPI

Jared Lawrence Parkinson, DDS

  • Dentist
  • Cypress, TX
National Provider Identifier
1003109109
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26450 Issued in TX
Practice address
7777 Westgreen Blvd
Cypress, TX 77433-0190
Phone
(713) 462-6565
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 26450 TX Primary

Addresses

Primary practice location

7777 Westgreen Blvd
Cypress, TX 77433-0190

Mailing address

27106 Harvest Pointe LN
Katy, TX 77494-2689
Phone (443) 449-9565

Other practice location 1

220 W Guadalupe St
LA Grange, TX 78945-1926
Phone (979) 968-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808000852 AZ Practitioner - Dentist 1052536463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Jul 27, 2023 Accepting new patients
North Country Healthcare, Inc. CurrentSince Jul 27, 2023 Accepting new patients

Locations

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

301 S 7th St
Williams, AZ 86046
Phone (928) 380-2611

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1003109109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27106 HARVEST POINTE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942689",
            "telephone_number": "443-449-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 WESTGREEN BLVD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330190",
            "telephone_number": "713-462-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W Guadalupe St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789451926",
            "country_code": "US",
            "telephone_number": "979-968-5700",
            "fax_number": "979-968-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "JARED",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7777 Westgreen Blvd",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774330190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.