Individual provider Active NPI

Scott E Parker, D.D.S.

  • Dentist
  • Redmond, WA
National Provider Identifier
1316930217
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008334 Issued in WA
Practice address
16455 NE 85TH St
Suite 100
Redmond, WA 98052-3673
Phone
(425) 885-1873
Fax
(425) 556-0763
NPI assigned
Aug 25, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00008334 WA Primary

Addresses

Primary practice location

16455 NE 85TH St
Suite 100
Redmond, WA 98052-3673

Mailing address

16455 NE 85TH St
Suite 100
Redmond, WA 98052-3673
Phone (425) 885-1873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00008334WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316930217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 NE 85TH ST",
            "address_2": "SUITE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523673",
            "telephone_number": "425-885-1873",
            "fax_number": "425-556-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 NE 85TH ST",
            "address_2": "SUITE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523673",
            "telephone_number": "425-885-1873",
            "fax_number": "425-556-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SCOTT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.