Individual provider Active NPI

David B Parker III, MD

  • Pain Medicine Physician
  • Glendale, AZ
National Provider Identifier
1194349597
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
77442 Issued in AZ
Practice address
18555 N 79TH Ave Ste D101
Glendale, AZ 85308-6040
Phone
(480) 245-6211
Fax
(480) 525-9637
NPI assigned
Jun 1, 2020
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 77442 AZ
Pain Medicine Physician 208VP0000X 77442 AZ Primary

Addresses

Primary practice location

18555 N 79TH Ave Ste D101
Glendale, AZ 85308-6040

Mailing address

11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251-3585
Phone (210) 703-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230718001005 TX Practitioner - Family Practice 2668894809 Reassigns benefits to 1 organization
I20250808000806 AZ Practitioner - Pain ManagementPractitioner - Family Practice 2668894809 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians
Integrity Pain and Anesthesia PLLCGroup PAC ID 8325356504, 16 clinicians

Practice addresses (Care Compare)

18555 N 79TH Ave
Suite D101
Glendale, AZ 85308-6040
Phone (480) 563-6400

8997 E Desert Cove Ave
FL 1
Scottsdale, AZ 85260-6742
Phone (480) 325-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Mar 6, 2024 Accepting new patients
TMC Provider Group PLLC CurrentSince Mar 6, 2024 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Jul 21, 2025 Accepting new patients
Arizona Pain Specialists, PLLC General Practice CurrentSince Jul 21, 2025 Accepting new patients
Anthem Physical Medicine LLC General Practice PastSince Dec 1, 2015 Accepting new patients
Physical Medicine of Chandler LLC General Practice PastSince May 1, 2020 Accepting new patients

Locations

18555 N 79th Ave
Ste D101
Glendale, AZ 85308
Phone (480) 245-6169

7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Interoperability endpoints

  • Direct secure messaging: dparker36388@direct.utmsa.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1194349597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 CHRISTUS HILLS",
            "address_2": "MEDICAL PLAZA 3, 3RD FL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513585",
            "telephone_number": "210-703-9001",
            "fax_number": "210-703-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE STE D101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086040",
            "telephone_number": "480-245-6211",
            "fax_number": "480-525-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "77442",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "77442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.