David Wesley Parker II, M.D., D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2014-02166 Issued in NC

Practice address

122 E Kinderton Way
Bermuda Run, NC 27006-7303

Phone

(336) 998-3300

Fax

(336) 998-3333

NPI assigned

Jan 10, 2010

Last updated

Sep 28, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 9, 2023 through Jan 9, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21596/brand/1/csg/1/fhir/r4

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.

• DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho

  • Oral and Maxillofacial Surgery (Dentist)
  • Bermuda Run, NC
  • NPI 1679203913
  NPD
• Teresa G. Biggerstaff, DDS, MD, PA

  dba Advanced Oral & Facial Surgery of the Triad

  • Oral and Maxillofacial Surgery (Dentist)
  • Kernersville, NC
  • NPI 1598013781
  NPD (past)
• Triad Ocular and Facial Plastic Surgery PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Clemmons, NC
  • NPI 1245737568
  NPD (past)

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1316277676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "SUITE 204",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849964",
            "telephone_number": "336-992-2123",
            "fax_number": "336-992-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E KINDERTON WAY",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067303",
            "telephone_number": "336-998-3300",
            "fax_number": "336-998-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DAVID",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-10",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "2014-02166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novant Health Medical Group, LLC (Novant Health Neurology and Sleep)
• Novant Health Medical Group, LLC (Novant Health Spine Specialists)
• Novant Health Medical Group, LLC (Novant Health Brain & Spine Surgery)
• Novant Medical Group, Inc. (Novant Health Sleep Center)
• April Michelle Papineau, NP
• Michelle Dilipkumar Patel, M.D.
• Nathanael Elvin Phillips, MD
• Dittana Phoncharoensri, M.D.
• Terrence Pittman
• David Carl Pollock, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Bermuda Run, NC
• Providers in Bermuda Run, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.