Active NPI
Whitney Leigh Parks, D.O.
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1356728935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R6156
- Practice address
- 5750 Pineland Dr # 150
Dallas, TX 75231-5300 - Phone
- (214) 379-4393
- Fax
- (214) 221-1437
- NPI assigned
- May 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | R6156 | TX | Primary |
Addresses
Primary practice location
5750 Pineland Dr # 150
Dallas, TX 75231-5300
Mailing address
8515 Greenville Ave Ste N108
Dallas, TX 75243-7035
Phone (214) 221-0855
Other practice location 1
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1173
Other practice location 2
8515 Greenville Ave Ste N108
Dallas, TX 75243-7035
Phone (214) 221-0855 ext. 128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160205000377 | TN | Order and Referring Only - Family Practice | 9537463955 | |
| I20190226001479 | TX | Order and Referring Only - Family Practice | 9537463955 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Ministries Inc. | Past | Accepting new patients | |
| Healing Hands Ministries Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1306287529
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1427568658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1356728935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 GREENVILLE AVE STE N108",
"city": "DALLAS",
"state": "TX",
"postal_code": "752437035",
"telephone_number": "214-221-0855",
"fax_number": "214-710-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 PINELAND DR # 150",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315300",
"telephone_number": "214-379-4393",
"fax_number": "214-221-1437"
}
],
"practiceLocations": [
{
"address_1": "1500 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044917",
"country_code": "US",
"telephone_number": "817-702-1173",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8515 Greenville Ave Ste N108",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752437035",
"country_code": "US",
"telephone_number": "214-221-0855 x128",
"fax_number": "214-221-1437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "WHITNEY",
"middle_name": "LEIGH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-02",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R6156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.