Jonathan Lee Parker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28371 Issued in CA

Practice address

330 Park Ave
Suite #6
Laguna Beach, CA 92651-2398

Phone

(949) 494-3538

Fax

(949) 494-5382

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215158761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PARK AVE",
            "address_2": "SUITE #6",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512398",
            "telephone_number": "949-494-3538",
            "fax_number": "949-494-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PARK AVE",
            "address_2": "SUITE #6",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512398",
            "telephone_number": "949-494-3538",
            "fax_number": "949-494-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JONATHAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Palmer, PH.D.
• Fabrice Paracuellos, MFT
• Charles Michael Parise, M.D.
• Christine Hyunsun Park, MD
• Juhee Park
• Simone Kayla Parmenter, FNP
• Abby Rose Patton
• Mark Paulsen, M.D.
• Saskia Pechanic
• Rachel J Peiffer, RN

• General Practice Dentistry in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.