Individual provider Active NPI

Jigneshkumar Ishwars Parmar, DDS

  • General Practice Dentistry
  • Sanford, NC
National Provider Identifier
1346643624
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12169 Issued in NC
Practice address
2617 S Horner Blvd
Sanford, NC 27332-8032
Phone
(919) 774-1993
Fax
(919) 774-0580
NPI assigned
Oct 1, 2014
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12169 NC Primary

Addresses

Primary practice location

2617 S Horner Blvd
Sanford, NC 27332-8032

Mailing address

2617 S Horner Blvd
Sanford, NC 27332-8032
Phone (919) 774-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260113000080 NC Order and Referring Only - DentistPractitioner - Dentist 4486953494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12169NCMDPhysical Therapist
30517TXMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Lane & Associates XV DDS PA General Practice PastSince May 29, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1346643624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273328032",
            "telephone_number": "919-774-1993",
            "fax_number": "919-774-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273328032",
            "telephone_number": "919-774-1993",
            "fax_number": "919-774-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMAR",
        "first_name": "JIGNESHKUMAR",
        "middle_name": "ISHWARS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.