Parra Family Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PARRA FAMILY DENTISTRY PC

Practice address

5050 L Street
Omaha, NE 68117

Phone

(402) 731-5423

Fax

(402) 884-5955

NPI assigned

Nov 7, 2006

Reactivated

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jodene Edmonds

Title

Dental Manager

Phone

(402) 731-5423

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1396814182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 L STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68117",
            "telephone_number": "402-731-5423",
            "fax_number": "402-884-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 L STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68117",
            "telephone_number": "402-731-5423",
            "fax_number": "402-884-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARRA FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-09-04",
        "deactivation_date": "2013-08-08",
        "reactivation_date": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "JODENE",
        "authorized_official_title_or_position": "DENTAL MANAGER",
        "authorized_official_telephone_number": "402-731-5423",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025130200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025602000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Deon Parr
• Joseph Parr
• Patrick Parr, D.D.S.
• Sophia Parr
• William J Parr, DDS
• Guadalupe Cirenia Parra Garcia, GG
• Valeria Desiree Parra Payano, MD
• Alexandra Parra, LIMHP, CMSW
• John F Parra, DDS
• Emily Ann Parriott, PA-C

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.