Dr. Kimberly Parks, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. KIMBERLY PARKS, DC

Practice address

108 W Pasadena Blvd
Deer Park, TX 77536-4870

Phone

(281) 476-0700

Fax

(281) 479-0473

NPI assigned

Oct 15, 2019

Last updated

Oct 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Michelle Parks, DCNPI 1467714675

Title

Owner

Phone

(280) 476-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Michelle Parks, DC

  • Chiropractor
  • Deer Park, TX
  • NPI 1467714675
  NPD Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1285276899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W PASADENA BLVD",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364870",
            "telephone_number": "281-476-0700",
            "fax_number": "281-479-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W PASADENA BLVD",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364870",
            "telephone_number": "281-476-0700",
            "fax_number": "281-479-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIMBERLY PARKS, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "280-476-0700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "8068",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkimberlyparksdc@drkimberlyparksdc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "108 W Pasadena Blvd",
            "city": "Deer Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775364870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Deer Park, TX
• Providers in Deer Park, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.