Individual provider Active NPI

Laura Spragens Parkman, DMD

  • Dentist
  • Rome, GA
National Provider Identifier
1396167128
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014761 Issued in GA
Practice address
2201 J L Todd Dr
Rome, GA 30161-5064
Phone
(706) 235-6011
Fax
(706) 235-6352
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014761 GA Primary

Addresses

Primary practice location

2201 J L Todd Dr
Rome, GA 30161-5064

Mailing address

2201 J L Todd Dr
Rome, GA 30161-5064
Phone (706) 235-6011

Other names 1

  • Laura Wells Spragens Former name

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

LicenseStateTypeSpecialty
DN014761GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Benjamin W. Knaak Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1396167128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 J L TODD DR",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615064",
            "telephone_number": "706-235-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 J L TODD DR",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615064",
            "telephone_number": "706-235-6011",
            "fax_number": "706-235-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKMAN",
        "first_name": "LAURA",
        "middle_name": "SPRAGENS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SPRAGENS",
            "middle_name": "WELLS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.