Stanley M Parker, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9472 Issued in FL

Practice address

110 E North Ave
Bonifay, FL 32425-1715

Phone

(850) 547-9290

Fax

(850) 547-4181

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stanley M Parker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Dentistry of Bonifay

  • General Practice Dentistry
  • Bonifay, FL
  • NPI 1558303156
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295771962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E NORTH AVE",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324251715",
            "telephone_number": "850-547-9290",
            "fax_number": "850-547-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E NORTH AVE",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324251715",
            "telephone_number": "850-547-9290",
            "fax_number": "850-547-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "STANLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANLEY",
            "last_name": "PARKER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Stanley Owens, D.C.
• Pak Rural Health
• Pancare of Florida, Inc
• Panhandle Family Medicine, LLC
• Brian A Parker, D.M.D.
• Jonathan Odell Paul, ARNP-BC
• Shelia Ann Paul
• Jessica Payne, LPN
• David Penzo, LCSW
• Robert Edward Pierce, DMD

• General Practice Dentistry in Bonifay, FL
• Providers in Bonifay, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.