Active NPI
Parks Family Dental
- Dental Clinic/Center
- Tishomingo, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1124
- Legal business name
- PARKS FAMILY DENTAL
- Practice address
- 1520 East Main Street
Tishomingo, OK 73460 - Phone
- (580) 371-3900
- Fax
- (580) 371-3903
- NPI assigned
- Feb 15, 2012
- Last updated
- Feb 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Ray Parks, D.D.S.
- Title
- Dentist
- Phone
- (580) 371-3900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1124 | OK | Primary |
Addresses
Primary practice location
1520 East Main Street
Tishomingo, OK 73460
Mailing address
1520 East Main Street
Tishomingo, OK 73460
Phone (580) 371-3900
National Provider Directory
National Provider Directory- Tax ID family
- Parks Family Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Preferred Provider Organization
- Tishomingo, OK
- NPI 1265704183
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Mill Creek, OK
- NPI 1508083940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329264000000",
"number": "1316210768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 EAST MAIN STREET",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "73460",
"telephone_number": "580-371-3900",
"fax_number": "580-371-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 EAST MAIN STREET",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "73460",
"telephone_number": "580-371-3900",
"fax_number": "580-371-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKS FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "580-371-3900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OK",
"license": "1124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tishomingo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.