Bill Dean Parker, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DD1125 Issued in NM

Practice address

318 Grant Ave
Santa Fe, NM 87501-1933

Phone

(505) 988-8822

Fax

(505) 988-8824

NPI assigned

Jul 31, 2007

Last updated

Sep 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northern New Mexico Periodontal Assoc.

  • Periodontics
  • Santa Fe, NM
  • NPI 1043371842
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1205026796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CALLE DE LA VUELTA E101",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054819",
            "telephone_number": "505-988-8822",
            "fax_number": "505-988-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 GRANT AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011933",
            "telephone_number": "505-988-8822",
            "fax_number": "505-988-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BILL",
        "middle_name": "DEAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NM",
            "license": "DD1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jude Pardee, PHD
• Cleveland Hendrick Pardue III, MD
• Elise Pardue, LPCC
• Abigail Park, MS OTR/L
• Kristine M Parke, MD
• Carol Lucille Parker, PH.D. LPCC
• Elizabeth R Parker, MSPT
• Haley Marcene Parker, DOM
• Johanna Parker
• Richard S Parker, DDS

• Periodontics in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Periodontics in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.