Michelle Parks

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60861745 Issued in WA

Practice address

2807 S Stone St Ste 102
Spokane, WA 99223-4904

Phone

(509) 503-1122

Fax

(509) 503-1124

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

No

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 WA

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michelle.parks.1@11411.direct.athenahealth.com

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.

• Michelle Parks PLLC

  • Dentist
  • Spokane, WA
  • NPI 1679494991
  NPD (past) Authorized official
• Washington Dental Corporation

  • General Practice Dentistry
  • Silverdale, WA
  • NPI 1295108694
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1356827489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 S STONE ST STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234904",
            "telephone_number": "509-503-1122",
            "fax_number": "509-503-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 S STONE ST STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234904",
            "telephone_number": "509-503-1122",
            "fax_number": "509-503-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60861745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Parkes
• Kimberly Rae Parkey
• Dana Parkin
• Danica Parkin, ARNP
• Danielle Parks
• Sarah N Parks, LMPC CIMI
• Parkside Physical Therapy Inc
• Parkside Physical Therapy Inc
• Parkway Village Spokane Senior Living Care
• Linda K Parman, LMP

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.