Individual provider Active NPI

Tim H Parmley, D.D.S.

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1043372923
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20122 Issued in TX
Practice address
6311 Hillcrest Rd # 200
Frisco, TX 75035-8109
Phone
(972) 335-4145
Fax
(972) 335-1019
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20122 TX Primary

Addresses

Primary practice location

6311 Hillcrest Rd # 200
Frisco, TX 75035-8109

Mailing address

308 Roma CT
Allen, TX 75013-3033
Phone (214) 727-9750

Other identifiers 2

IdentifierTypeStateIssuer
150883002MedicaidTX
1323561OtherTXUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150727002774 CA Order and Referring Only - DentistPractitioner - Dentist 5799099339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20122TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Dental Frisco PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1043372923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ROMA CT",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133033",
            "telephone_number": "214-727-9750",
            "fax_number": "972-335-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 HILLCREST RD # 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358109",
            "telephone_number": "972-335-4145",
            "fax_number": "972-335-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMLEY",
        "first_name": "TIM",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150883002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1323561",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.