Active NPI
Dr. Cynthia D. Parks DDS, PLLC
- Pediatric Dentistry
- Morgantown, WV
National Provider Identifier
1154713246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13688
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cynthia Denise Parks, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012065100 | Medicaid | MD | |
| 3810006975 | Medicaid | WV |
Other names 1
- Cynthia D. Parks DDS, PLLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Morgantown, WV
- NPI 1386756054
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.