Active NPI
Todd M. Parco, D.D.S.
- Pediatric Dentistry
- Las Cruces, NM
National Provider Identifier
1396737557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DD2445
- Practice address
- 1901 Calle de Ninos
Las Cruces, NM 88005-3293 - Phone
- (575) 526-5522
- Fax
- (575) 523-5312
- NPI assigned
- Aug 15, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8306 | CO | |
| Pediatric Dentistry | 1223P0221X | DD2445 | NM | Primary |
| Pediatric Dentistry | 1223P0221X | 25762 | TX |
Addresses
Primary practice location
1901 Calle de Ninos
Las Cruces, NM 88005-3293
Mailing address
4435 Organ Mesa Loop
Las Cruces, NM 88011-8404
Phone (575) 526-5522
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30259037 | Medicaid | CO | |
| 31677592 | Medicaid | NM | |
| 01316253 | Other | UNITED CONCORDIA |
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 |
|---|---|---|---|
| 8306 | CO | MD | General Practice Dentistry |
| DD2445 | NM | MD | Pediatric Dentist |
| 25762 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Croc Doc, P.C. | Pediatric Dentistry | Current | Accepting new patients |
Locations
1901 Calle de Ninos
Las Cruces, NM 88005
Phone (575) 523-5312
7878 Gateway Blvd E
Ste 101
El Paso, TX 79915
Phone (915) 444-5121
7878 Gateway Blvd E
Ste 100
El Paso, TX 79915
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.
-
- Pediatric Dentistry
- El Paso, TX
- NPI 1588931042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1396737557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 ORGAN MESA LOOP",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118404",
"telephone_number": "575-526-5522",
"fax_number": "575-523-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 CALLE DE NINOS",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053293",
"telephone_number": "575-526-5522",
"fax_number": "575-523-5312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARCO",
"first_name": "TODD",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "8306",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NM",
"license": "DD2445",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "25762",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30259037",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31677592",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "01316253",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.