Timothy J Parker DMD PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN0010957 Issued in FL

Legal business name

TIMOTHY J PARKER DMD PA

Practice address

8351 Bayberry Rd
Jacksonville, FL 32256-4427

Phone

(904) 737-3263

Fax

(904) 448-5301

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J Parker, DMDNPI 1861429086

Title

Owner

Phone

(904) 737-3263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy James Parker, DMD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
  • NPI 1861429086
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1013141217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564427",
            "telephone_number": "904-737-3263",
            "fax_number": "904-448-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564427",
            "telephone_number": "904-737-3263",
            "fax_number": "904-448-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J PARKER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-737-3263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0010957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Timmons, ARNP
• Tawanna Denise Timmons, CPT, MA
• Cassandra Timo
• Melissa R Timonere, LD/N
• Timothy Bradberry DMD, PLLC
• Timothy L Wyatt MD PA
• Tina Sines
• Karen Tinaglia, OTR/L, CSRS
• Dovie Nile Tinana, ARNP
• Cheryce Napehew Tinaynan

• Oral and Maxillofacial Surgery (Dentist) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.