Active NPI
Quinton John Parks, DDS
- Dentist
- Fulshear, TX
National Provider Identifier
1225359284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25570
- Practice address
- 8411 FM 359 Rd S Ste E
Fulshear, TX 77441-6409 - Phone
- (832) 743-0044
- NPI assigned
- Jun 14, 2010
- Last updated
- Apr 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25570 | TX | Primary |
Addresses
Primary practice location
8411 FM 359 Rd S Ste E
Fulshear, TX 77441-6409
Mailing address
8411 FM 359 Rd S Ste E
Fulshear, TX 77441-6409
Phone (178) 823-9289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25570 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fulshear Dentistry and Orthodontics PLLC | General Practice | Past | Accepting new patients |
| Sage Dental-Deer Park PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Fulshear, TX
- NPI 1194382499
-
- Dentist
- La Porte, TX
- NPI 1477841286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1225359284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8411 FM 359 RD S STE E",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774416409",
"telephone_number": "178-823-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8411 FM 359 RD S STE E",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774416409",
"telephone_number": "832-743-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "QUINTON",
"middle_name": "JOHN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2022-04-20",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulshear, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.