Parkway Dental Professionals

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

22699 Issued in TX

Legal business name

PARKWAY DENTAL PROFESSIONALS

Doing business as

The Parkway Dentist

Practice address

4200 Bryant Irvin Rd. Ste. 101
Fort Worth, TX 76109

Phone

(817) 735-1616

Fax

(817) 735-8132

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Darlin Lacour

Title

Office Manager

Phone

(817) 735-1616

Specialties & licenses 1

Addresses

Other names 1

• The Parkway Dentist Doing business as

Locations

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1174910111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD. STE. 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-735-1616",
            "fax_number": "817-735-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD. STE. 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-735-1616",
            "fax_number": "817-735-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "LACOUR",
        "authorized_official_first_name": "DARLIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-735-1616"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "22699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Parkway Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan W Parks, S.L.P.
• Tiara Parks
• Viada Parks
• Wesley Parks
• Parkside Oasis Inc
• Christopher Parlee, M.D.
• Sonia Parmar, MD
• David Edward Parmer, D.D.S., M.D.
• Heather Katrina Parmer, PA-C
• Girlean Ceola Parmes, NURSE

• Preferred Provider Organization in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.