Individual provider Active NPI

Patrick McParland, D.D.S.

  • General Practice Dentistry
  • La Porte, TX
National Provider Identifier
1124151790
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19082 Issued in TX
Practice address
1309 W Fairmont Pkwy
Suite C
La Porte, TX 77571-6134
Phone
(281) 941-4357
Fax
(281) 941-9796
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 19082 TX Primary

Addresses

Primary practice location

1309 W Fairmont Pkwy
Suite C
La Porte, TX 77571-6134

Mailing address

1309 W Fairmont Pkwy
Suite C
La Porte, TX 77571-6134
Phone (281) 989-6834

Other identifiers 1

IdentifierTypeStateIssuer
1209470-17MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240206003098 TX Practitioner - Oral Surgery 7214164193 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19082TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro de Corazon CurrentSince Jan 9, 2024 Accepting new patients
El Centro de Corazon CurrentSince Jan 9, 2024 Accepting new patients

Locations

7635 Canal St
Houston, TX 77012
Phone (713) 660-1880

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1124151790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 W FAIRMONT PKWY",
            "address_2": "SUITE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716134",
            "telephone_number": "281-989-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W FAIRMONT PKWY",
            "address_2": "SUITE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716134",
            "telephone_number": "281-941-4357",
            "fax_number": "281-941-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPARLAND",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209470-17",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

Verify at the official NPI Registry.