Organization Active NPI

Dale R. Parry, D.D.S., Inc

Doing business as Plaza Dental Group

  • General Practice Dentistry
  • Ventura, CA
National Provider Identifier
1275673410
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DALE R. PARRY, D.D.S., INC
Doing business as
Plaza Dental Group
Practice address
4744 Telephone Rd Ste 4
Ventura, CA 93003-5258
Phone
(805) 653-0620
Fax
(805) 658-6459
NPI assigned
Feb 7, 2007
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
Dr. Dale Russell Parry, DDS
Title
President
Phone
(805) 653-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4744 Telephone Rd Ste 4
Ventura, CA 93003-5258

Mailing address

4744 Telephone Rd Ste 4
Ventura, CA 93003-5258
Phone (805) 653-0620

Other names 1

  • Plaza Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

4744 Telephone Rd
Ste 4
Ventura, CA 93003
Phone (805) 653-0620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275673410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 TELEPHONE RD STE 4",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035258",
            "telephone_number": "805-653-0620",
            "fax_number": "805-658-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 TELEPHONE RD STE 4",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035258",
            "telephone_number": "805-653-0620",
            "fax_number": "805-658-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE R. PARRY, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-653-0620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

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.