Parker Lewis Aldredge, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI03054300 Issued in NJ

Practice address

Holloman MDG
280 David L. Goldfein Street, BLDG 20
Holloman AFB, NM 88330

Phone

(575) 572-8088

NPI assigned

Aug 6, 2024

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1114757986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOLLOMAN MDG",
            "address_2": "280 DAVID L. GOLDFEIN STREET, BLDG 20",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLLOMAN MDG",
            "address_2": "280 DAVID L. GOLDFEIN STREET, BLDG 20",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88330",
            "telephone_number": "575-572-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDREDGE",
        "first_name": "PARKER",
        "middle_name": "LEWIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03054300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 49TH Medgrp-Holloman (DoD HOLLOMAN ePhcy)
• 49TH Medgrp-Holloman
• Steve Lawrence Alger, D.D.S.
• Adam James Allen, PA-C
• Samuel Brefo Ankamah, LMSW
• Lorinda R. Arella, PH.D
• Erica Xavier Aumand

• General Practice Dentistry in Holloman AFB, NM
• Providers in Holloman AFB, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.