Parker Dental Clinic, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2095 Issued in ND

Legal business name

PARKER DENTAL CLINIC, LLC

Practice address

4501 Coleman St
Suite 107
Bismarck, ND 58503

Phone

(170) 120-4723

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Riley D Parker, DMDNPI 1912152190

Title

Owner

Phone

(701) 989-4302

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Riley D Parker, D.M.D.

  • General Practice Dentistry
  • Bismarck, ND
  • NPI 1912152190
  NPD (past) Authorized official

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1275873440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 STONEWALL DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585037817",
            "telephone_number": "170-198-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 COLEMAN ST",
            "address_2": "SUITE 107",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "170-120-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "17019894302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "2095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Pape, LSW
• Aiyana Parisien
• Rebecca Parisien, BCBA
• Samantha Ann Park
• Steven Park, MD
• Amanda Parker
• Riley D Parker, D.M.D.
• Rebecca Ann Parr, PT
• Mikayla Parrett
• Parsley Medical Group FL PA (Parsley Medical Group of ND)

• Dental Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.