Christopher Allen Parks, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

20030115559 Issued in MO

Practice address

400 Cumberland Way
Suite a
Sullivan, MO 63080-3321

Phone

(573) 468-7556

Fax

(573) 468-7530

NPI assigned

Aug 5, 2006

Last updated

May 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MO

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

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.

• Christopher a. Parks, DDS, P.C.

  • Dentist
  • Sullivan, MO
  • NPI 1407142698
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1386653095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CUMBERLAND WAY",
            "address_2": "SUITE A",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630803321",
            "telephone_number": "573-468-7556",
            "fax_number": "573-468-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CUMBERLAND WAY",
            "address_2": "SUITE A",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630803321",
            "telephone_number": "573-468-7556",
            "fax_number": "573-468-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "20030115559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluseyi Fadegbola Ogundimu, M.D.
• Alysa Oliver
• Jeffery Orr, DPT, PT
• Kelly D Paneitz, R.D., L.D.
• Parkcrest Orthopedics LLC
• Parkway Pathology Group
• Patients First Health Care LLC
• Patients First Health Care LLC
• Patients First Health Care LLC
• Laura Marie Peregoy

• Periodontics in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.