Active NPI
Donald Raphael Parker, DDS
- General Practice Dentistry
- Mechanicsville, MD
National Provider Identifier
1295029007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14989
- Practice address
- 28095 Three Notch Rd
Mechanicsville, MD 20659-3373 - Phone
- (301) 884-8133
- Fax
- (301) 884-0513
- NPI assigned
- Jun 9, 2011
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14989 | MD | Primary |
Addresses
Primary practice location
28095 Three Notch Rd
Mechanicsville, MD 20659-3373
Mailing address
28095 Three Notch Rd
Mechanicsville, MD 20659-3373
Phone (301) 884-8133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 3, 2023 through Apr 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14989 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luke M. Morgan, D.D.S. and Associates, LLC | General Practice | Past | Accepting new patients |
| Garner D Morgan DDS PA & Associates | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Mechanicsville, MD
- NPI 1235206244
-
- General Practice Dentistry
- Mechanicsville, MD
- NPI 1669618211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1295029007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28095 THREE NOTCH RD",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206593373",
"telephone_number": "301-884-8133",
"fax_number": "301-884-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28095 THREE NOTCH RD",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206593373",
"telephone_number": "301-884-8133",
"fax_number": "301-884-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DONALD",
"middle_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.