Active NPI
Gregory A Parker, D.D.S.
- General Practice Dentistry
- Ocala, FL
National Provider Identifier
1023174133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN11335
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160211002097 | FL | Order and Referring Only - Dentist | 3779886817 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37272 | CA | MD | General Practice Dentistry |
| DN11335 | FL | MD | General Practice Dentistry |
| D10036 | MN | MD | General Practice Dentistry |
| 3756-015 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick H Pruitt DMD PA | Past | Accepting new patients | |
| Gregory a Parker D.D.S.,P.a. | General Practice | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Practice Dentistry
- Ocala, FL
- NPI 1548327695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.