Individual provider Active NPI

Gregory A Parker, D.D.S.

  • General Practice Dentistry
  • Ocala, FL
National Provider Identifier
1023174133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11335 Issued in FL
Practice address
2835 SE 3Rd CT
Ocala, FL 34471-0444
Phone
(352) 732-3985
Fax
(352) 732-4561
NPI assigned
Jan 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN11335 FL Primary
General Practice Dentistry 1223G0001X D10036 MN
General Practice Dentistry 1223G0001X 3756-015 WI
General Practice Dentistry 1223G0001X 37272 CA

Addresses

Primary practice location

2835 SE 3Rd CT
Ocala, FL 34471-0444

Mailing address

4900 SW 2ND Ter
Ocala, FL 34474-6747
Phone (352) 873-9758

Other names 1

  • Gregory A Parker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160211002097 FL Order and Referring Only - DentistPractitioner - Dentist 3779886817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37272CAMDGeneral Practice Dentistry
DN11335FLMDGeneral Practice Dentistry
D10036MNMDGeneral Practice Dentistry
3756-015WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick H Pruitt DMD PA PastSince May 7, 2024 Accepting new patients
Gregory a Parker D.D.S.,P.a. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gregory.parker.1@24790.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023174133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW 2ND TER",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746747",
            "telephone_number": "352-873-9758",
            "fax_number": "352-732-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710444",
            "telephone_number": "352-732-3985",
            "fax_number": "352-732-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11335",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10036",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3756-015",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "PARKER",
            "middle_name": "A",
            "credential": "D.D.S.,P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.