Active NPI
Parker Kimball Wood, DDS
- Dentist
- Aberdeen, WA
National Provider Identifier
1154973238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60967577
- Practice address
- 104 W 4TH St
Aberdeen, WA 98520-3932 - Phone
- (360) 532-7512
- NPI assigned
- Jul 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60967577 | WA | Primary |
Addresses
Primary practice location
104 W 4TH St
Aberdeen, WA 98520-3932
Mailing address
PO Box 261
Cosmopolis, WA 98537-0261
Phone (541) 231-2096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60967577 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker K Wood DDS PLLC | Current | Accepting new patients | |
| Adam P Cramer PLLC | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Aberdeen, WA
- NPI 1962340471
-
- Dental Clinic/Center
- Aberdeen, WA
- NPI 1528623709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1154973238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261",
"city": "COSMOPOLIS",
"state": "WA",
"postal_code": "985370261",
"telephone_number": "541-231-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 4TH ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985203932",
"telephone_number": "360-532-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "PARKER",
"middle_name": "KIMBALL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60967577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.