Jonathan Arthur Parker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9503 Issued in MN

Practice address

7225 Ohms LN
Suite 180
Edina, MN 55439-2171

Phone

(952) 345-0290

Fax

(952) 920-0105

NPI assigned

Aug 12, 2006

Last updated

Oct 2, 2023By 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 28, 2006 through Jun 28, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Snoring and Sleep Apnea Dental Treatment Center

  • General Practice Dentistry
  • Edina, MN
  • NPI 1063644888
  NPD Authorized official
• Snoring and Sleep Apnea Dental Treatment Center

  • Speech-Language Pathologist
  • Edina, MN
  • NPI 1437957636
  NPD Authorized official
• Twin Cities TMJ & Facial Pain Clinic, LTD.

  • Dentist
  • St Louis Park, MN
  • NPI 1225201213
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1396757126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OHMS LN",
            "address_2": "SUITE 180",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392171",
            "telephone_number": "952-345-0290",
            "fax_number": "952-920-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OHMS LN",
            "address_2": "SUITE 180",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392171",
            "telephone_number": "952-345-0290",
            "fax_number": "952-920-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JONATHAN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Pareja
• Gregory Parish, MD
• Rebecca M Park, O.T.
• Quannah Elizabeth Parker-McGowan, LP
• Cassandra Parker, CNP
• Parkinsons Specialty Care
• Parklawnhealthservices LLC
• Kelsey Nicole Parks, MD
• Susan M Parks, RD,CSSD,LDN,CPT
• Simmie J. Parlow, PH.D.

• General Practice Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.