Parker Lewis Stanway, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

111103 Issued in CA

Practice address

78595 Highway 111 Ste 300
La Quinta, CA 92253-2084

Phone

(760) 771-0300

Fax

(760) 771-0420

NPI assigned

Dec 16, 2024

Last updated

Dec 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

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

Practice roles

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.

• Mowrey Dental Corporation

  dba La Quinta Dental Group

  • General Practice Dentistry
  • La Quinta, CA
  • NPI 1851485635
  NPD (past)

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1326855123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35095 SERENADE",
            "city": "THOUSAND PALMS",
            "state": "CA",
            "postal_code": "922764125",
            "telephone_number": "760-799-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78595 HIGHWAY 111 STE 300",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532084",
            "telephone_number": "760-771-0300",
            "fax_number": "760-771-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANWAY",
        "first_name": "PARKER",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Soto, DDA
• Nash Sourial, D.D.S.
• Kari Elizabeth Sower, NP
• Balachandran Dobli Srinivasan, MD, MD
• St Mary Corp Inc (Pharmacy of the Desert)
• Star Orthopaedics, Inc.
• Stephen Ross Steele, D.O.
• Kenneth Stein, PHARM D
• Steven P Gorman MD Inc.
• Bret M Steven

• Dentist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.