Kelsi Parker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13294 Issued in NC

Practice address

1701 Country Club Rd
Jacksonville, NC 28546-6005

Phone

(910) 346-2345

NPI assigned

Jun 5, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1376237339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WILLAS CT",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284458006",
            "telephone_number": "919-389-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COUNTRY CLUB RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466005",
            "telephone_number": "910-346-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KELSI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Parham, OD
• Madia Paris, MS, OTR/L
• Monireh Parish, MBBS
• Blaine A. Parker, P.T.A.
• John Wesley Parker II, D.D.S.
• Marysol Parker
• Nancy M Parker, MA CCC-SLP
• Stephanny Parker, PMHNP
• Sara Parrish
• Jesal Patel, DMD

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.