Organization Active NPI

John Parkhur DMD Inc

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1316325871
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
61010 Issued in CA
Legal business name
JOHN PARKHUR DMD INC
Practice address
1521 N Broadway
Santa Ana, CA 92706-3906
Phone
(714) 972-2801
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
John Parkhur
Title
DMD
Phone
(714) 972-2801

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Dental Clinic/Center 261QD0000X 61010 CA Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1521 N Broadway
Santa Ana, CA 92706-3906

Mailing address

1521 N Broadway
Santa Ana, CA 92706-3906
Phone (714) 972-2801

Other practice location 1

3909 Van Buren Blvd Ste 9
Riverside, CA 92503-3666
Phone (323) 500-9925

Other names 1

  • Friendly Smile Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 3235009925

National Provider Directory

National Provider Directory

Locations

3909 Van Buren Blvd
Ste 9
Riverside, CA 92503
Phone (323) 500-9925

1521 N Broadway
Santa Ana, CA 92706
Phone (714) 972-2801

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1316325871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063906",
            "telephone_number": "714-972-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063906",
            "telephone_number": "714-972-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Van Buren Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033666",
            "country_code": "US",
            "telephone_number": "323-500-9925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN PARKHUR DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "PARKHUR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "714-972-2801"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61010",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "3235009925",
            "affiliation": "N",
            "address_1": "1521 N Broadway",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927063906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Friendly Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.