Philip Daniel Parkes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040833 Issued in NY

Practice address

5102 W Genesee St
Camillus, NY 13031-2327

Phone

(315) 468-1843

Fax

(315) 468-0632

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386783959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312327",
            "telephone_number": "315-468-1843",
            "fax_number": "315-468-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312327",
            "telephone_number": "315-468-1843",
            "fax_number": "315-468-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKES",
        "first_name": "PHILIP",
        "middle_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040833",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4152015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly S. Parisi, CCC/SLP
• Bruce Dale Parker, DDS
• Kimberly Ann Parker
• Lydia Faith Parker, RDN
• Michael James Parker, MD
• Pediatric Associates LLP
• Michael Joseph Perrone, RPH
• Dina Naomi Pettiford, M.S., CCC-A
• Shelbie Filicia Pidkaminy, MS, NP, PMHNP-BC
• Tara Rose Pienkowski, M.S.

• General Practice Dentistry in Camillus, NY
• Providers in Camillus, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.