Parker Periodontics & Dental Implants, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9692 Issued in CO

Legal business name

PARKER PERIODONTICS & DENTAL IMPLANTS, PLLC

Practice address

19700 E Parker Square Dr
Suite #3
Parker, CO 80134-7301

Phone

(303) 309-0369

Fax

(303) 835-0033

NPI assigned

Nov 7, 2012

Last updated

Nov 7, 2012By 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

Mr. Kelvin De Julio

Title

Office Manager

Phone

(303) 309-0369

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1295089563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19700 E PARKER SQUARE DR",
            "address_2": "SUITE #3",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347301",
            "telephone_number": "303-309-0369",
            "fax_number": "303-835-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19700 E PARKER SQUARE DR",
            "address_2": "SUITE #3",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347301",
            "telephone_number": "303-309-0369",
            "fax_number": "303-835-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER PERIODONTICS & DENTAL IMPLANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "DE JULIO",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-309-0369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "9692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker Optical, PLLC
• Parker Pain Relief Clinic
• Parker PDC PLLC
• Parker Pediatrics and Adolescents PC
• Parker Performance Clinic, LLC
• Parker Personal Care Homes, Inc.
• Parker Physical Therapy, Inc
• Parker Professional Pharmacy (Parker Pharmacy)
• Parker Skilled Nursing Facility LLC
• Parker Vision Specialists PC

• Periodontics in Parker, CO
• Providers in Parker, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.