Active NPI
William B Parker, D.D.S.
- Periodontics
- Fort Lauderdale, FL
National Provider Identifier
1174506745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 480
- Practice address
- 3200 South University Drive
Nsu College of Dental Medicine Dept of Periodontology
Fort Lauderdale, FL 33328 - Phone
- (954) 262-7330
- Fax
- (954) 262-1782
- NPI assigned
- Nov 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401008175 | VA | |
| Periodontics | 1223P0300X | 480 | FL | Primary |
Addresses
Primary practice location
3200 South University Drive
Nsu College of Dental Medicine Dept of Periodontology
Fort Lauderdale, FL 33328
Mailing address
3200 South University Drive
Nsu College of Dental Medicine Dept of Periodontology
Fort Lauderdale, FL 33328
Phone (954) 262-7330
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 |
|---|---|---|---|
| 480 | FL | MD | Periodontist |
| 0401008175 | VA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1174506745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SOUTH UNIVERSITY DRIVE",
"address_2": "NSU COLLEGE OF DENTAL MEDICINE DEPT OF PERIODONTOLOGY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33328",
"telephone_number": "954-262-7330",
"fax_number": "954-262-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SOUTH UNIVERSITY DRIVE",
"address_2": "NSU COLLEGE OF DENTAL MEDICINE DEPT OF PERIODONTOLOGY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33328",
"telephone_number": "954-262-7330",
"fax_number": "954-262-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401008175",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.