Active NPI
Gregory Scott Parker, DMD
- General Practice Dentistry
- Vancouver, WA
National Provider Identifier
1386211357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61434045
- Practice address
- 6715 NE 63Rd St Ste 101
Vancouver, WA 98661-1980 - Phone
- (360) 699-5555
- Fax
- (970) 416-7316
- NPI assigned
- Jun 8, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00204732 | CO | |
| General Practice Dentistry | 1223G0001X | DE61434045 | WA | Primary |
Addresses
Primary practice location
6715 NE 63Rd St Ste 101
Vancouver, WA 98661-1980
Mailing address
6715 NE 63Rd St Ste 101
Vancouver, WA 98661-1980
Phone (360) 699-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204732 | CO | MD | Dentist |
| DE61434045 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vancouver Center for General and Cosmetic Dentistry | Dentist | Past | Accepting new patients |
| Fort Collins Modern Dentistry, LLP | General Practice | 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.
-
- Dentist
- Vancouver, WA
- NPI 1952571382
-
- General Practice Dentistry
- Fort Collins, CO
- NPI 1013224062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1386211357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715 NE 63RD ST STE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986611980",
"telephone_number": "360-699-5555",
"fax_number": "360-699-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715 NE 63RD ST STE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986611980",
"telephone_number": "360-699-5555",
"fax_number": "970-416-7316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00204732",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61434045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.