Individual provider Active NPI

Olan Daly Parr Jr., D.D.S.

  • General Practice Dentistry
  • Culpeper, VA
National Provider Identifier
1285792036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
VA0401006532 Issued in VA
Practice address
1043 Oaklawn Dr
Culpeper, VA 22701-3339
Phone
(540) 829-9922
Fax
(540) 829-9163
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X VA0401006532 VA Primary

Addresses

Primary practice location

1043 Oaklawn Dr
Culpeper, VA 22701-3339

Mailing address

1043 Oaklawn Dr
Culpeper, VA 22701-3339
Phone (540) 829-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707000729 VA Order and Referring Only - DentistPractitioner - Dentist 6103138086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VA0401006532VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285792036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 OAKLAWN DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013339",
            "telephone_number": "540-829-9922",
            "fax_number": "540-829-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 OAKLAWN DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013339",
            "telephone_number": "540-829-9922",
            "fax_number": "540-829-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARR",
        "first_name": "OLAN",
        "middle_name": "DALY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA0401006532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.