Active NPI
David Walker Parks, D.M.D.
- Dentist
- Wenatchee, WA
National Provider Identifier
1033458377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00005195
- Practice address
- 600 Orondo Ave Ste 2
Wenatchee, WA 98801-2800 - Phone
- (509) 662-7918
- Fax
- (509) 662-0710
- NPI assigned
- Feb 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00005195 | WA | Primary |
Addresses
Primary practice location
600 Orondo Ave Ste 2
Wenatchee, WA 98801-2800
Mailing address
600 Orondo Ave Ste 2
Wenatchee, WA 98801-2800
Phone (509) 662-7918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00005195 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1033458377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ORONDO AVE STE 2",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012800",
"telephone_number": "509-662-7918",
"fax_number": "509-662-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ORONDO AVE STE 2",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012800",
"telephone_number": "509-662-7918",
"fax_number": "509-662-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "DAVID",
"middle_name": "WALKER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00005195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.