Organization Active NPI

Dr. Cynthia D. Parks DDS, PLLC

  • Pediatric Dentistry
  • Morgantown, WV
National Provider Identifier
1154713246
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
13688 Issued in MD
Legal business name
DR. CYNTHIA D. PARKS DDS, PLLC
Practice address
7000 Coomb'S Farm Drive
Suite 102
Morgantown, WV 26508-7310
Phone
(304) 777-4114
Fax
(304) 777-4115
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Dr. Cynthia Denise Parks, DDSNPI 1386756054
Title
Pediatric Dentist
Phone
(304) 777-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 13688 MD Primary

Addresses

Primary practice location

7000 Coomb'S Farm Drive
Suite 102
Morgantown, WV 26508-7310

Mailing address

7000 Coomb'S Farm Drive
Suite 102
Morgantown, WV 26508-7310
Phone (304) 777-4114

Other identifiers 2

IdentifierTypeStateIssuer
012065100MedicaidMD
3810006975MedicaidWV

Other names 1

  • Cynthia D. Parks DDS, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

7000 Coombs Farm Rd
#102
Morgantown, WV 26508
Phone (304) 777-4114

601 Venture Dr
Ste 200
Morgantown, WV 26508

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1154713246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 COOMB'S FARM DRIVE",
            "address_2": "SUITE 102",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087310",
            "telephone_number": "304-777-4114",
            "fax_number": "304-777-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 COOMB'S FARM DRIVE",
            "address_2": "SUITE 102",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087310",
            "telephone_number": "304-777-4114",
            "fax_number": "304-777-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CYNTHIA D. PARKS DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "304-777-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "13688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012065100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006975",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia D. Parks DDS, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.