Kimberly M Parson DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIMBERLY M PARSON DDS PLLC

Practice address

2360 W Camp Wisdom Rd Ste 170
Grand Prairie, TX 75052-2218

Phone

(469) 340-4002

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly M Parson, DDSNPI 1356571095

Title

Owner

Phone

(469) 340-4002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kimberly Michelle Parson, D.D.S

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1356571095
  NPD Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1013559608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 W CAMP WISDOM RD STE 170",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522218",
            "telephone_number": "469-340-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W CAMP WISDOM RD STE 170",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522218",
            "telephone_number": "469-340-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M PARSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "PARSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-340-4002",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1356571095",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geeta Khare
• Cynthia Kidd, OTR
• Kids Can Fly Foundation
• Joseph Yun Kim, MD
• Kook Sun Kim, DMD
• Antoinette Kincaid
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• Kiner Speech Services
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• Josephat Omweno Kirochi, RN

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.