Individual provider Active NPI

Frank Guy Parise, DMD

  • Dentist
  • Beaver, PA
National Provider Identifier
1164637229
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS025266L Issued in PA
Practice address
1 Bridge St
Beaver, PA 15009-2953
Phone
(724) 775-1802
Fax
(724) 775-1803
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS025266L PA Primary

Addresses

Primary practice location

1 Bridge St
Beaver, PA 15009-2953

Mailing address

PO Box 860036
Minneapolis, MN 55486-0036
Phone (724) 775-1802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160415001996 PA Order and Referring Only - DentistPractitioner - Dentist 2668770132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS025266LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DCP of Pennsylvania (Beaver Valley), Inc. Dentist Past Accepting new patients

Organizations & group practices 1

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1164637229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860036",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860036",
            "telephone_number": "724-775-1802",
            "fax_number": "724-775-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092953",
            "telephone_number": "724-775-1802",
            "fax_number": "724-775-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISE",
        "first_name": "FRANK",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025266L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.