Kimberly Wycall Parker, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

10617 Issued in MD

Practice address

531 Riverside Dr
Salisbury, MD 21801-5300

Phone

(410) 912-0288

Fax

(410) 912-0294

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316092992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 RIVERSIDE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015300",
            "telephone_number": "410-912-0288",
            "fax_number": "410-912-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 RIVERSIDE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015300",
            "telephone_number": "410-912-0288",
            "fax_number": "410-912-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KIMBERLY",
        "middle_name": "WYCALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MD",
            "license": "10617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akhil Parashar, M.D.
• Betina Clarsky Parent-Cazeau, MSN, APRN, AGPCNP-BC
• Andrea Park
• Joseph Elisha Parker Jr.
• Katie Parker, OTR/L
• Lindsey Danielle Parker, FNP-BC
• Beverly S Parks, LGSW
• Mandip Singh Parmar, M.D., PHD
• Ann Marie Parra, CRNA
• Julie Lynn Parrish, P.A.-C

• Public Health Dentistry in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Public Health Dentistry in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.