NPIMap

Organization Active NPI

Dr. Jerry L. Parker D.M.D.

  • Pediatric Dentistry
  • Birmingham, AL
National Provider Identifier
1184784290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2781 Issued in AL
Legal business name
DR. JERRY L. PARKER D.M.D.
Practice address
1263 Center Point Pkwy
Suite a
Birmingham, AL 35215-6347
Phone
(205) 856-0148
Fax
(205) 856-3018
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerry Lee ParkerNPI 1336157759
Title
Dentist
Phone
(205) 856-0148

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)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2781 AL Primary

Addresses

Primary practice location

1263 Center Point Pkwy
Suite a
Birmingham, AL 35215-6347

Mailing address

1263 Center Point Pkwy
Suite a
Birmingham, AL 35215-6347
Phone (205) 856-0148

Other identifiers 2

IdentifierTypeStateIssuer
161499OtherALUNITED CONCORDIA
95203OtherALBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1263 Center Point Pkwy
Ste A
Birmingham, AL 35215
Phone (205) 856-0148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184784290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 CENTER POINT PKWY",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352156347",
            "telephone_number": "205-856-0148",
            "fax_number": "205-856-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 CENTER POINT PKWY",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352156347",
            "telephone_number": "205-856-0148",
            "fax_number": "205-856-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JERRY L. PARKER D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-856-0148"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "2781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "161499",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "95203",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.