Individual provider Active NPI

Noel Francis Parris, DDS

  • Dentist
  • Newnan, GA
National Provider Identifier
1295822476
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012880 Issued in GA
Practice address
20 Baker Rd
Suite 6
Newnan, GA 30265-2134
Phone
(678) 854-0169
Fax
(678) 854-0174
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31682 NY
Dentist 122300000X DN012880 GA Primary

Addresses

Primary practice location

20 Baker Rd
Suite 6
Newnan, GA 30265-2134

Mailing address

20 Baker Rd
Suite 6
Newnan, GA 30265-2134
Phone (678) 854-0169

Other identifiers 1

IdentifierTypeStateIssuer
00304265MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151203001201 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254631898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN012880GAMDDentist
31682NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1295822476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BAKER RD",
            "address_2": "SUITE 6",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652134",
            "telephone_number": "678-854-0169",
            "fax_number": "678-854-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BAKER RD",
            "address_2": "SUITE 6",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652134",
            "telephone_number": "678-854-0169",
            "fax_number": "678-854-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "NOEL",
        "middle_name": "FRANCIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "31682",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00304265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.