Individual provider Active NPI

Kristi Danielle Parker, DDS, MSD, RD

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1396926572
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
32113 Issued in TX
Practice address
102 Heights Blvd Ste B
Houston, TX 77007-3729
Phone
(713) 993-7332
NPI assigned
Nov 16, 2007
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32113 TX
Pediatric Dentistry 1223P0221X 32113 TX Primary
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

102 Heights Blvd Ste B
Houston, TX 77007-3729

Mailing address

102 Heights Blvd Ste B
Houston, TX 77007-3729
Phone (713) 993-7332

Other names 1

  • Dr. Kristi Danielle Hatfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170403001918 TX Order and Referring Only - DentistPractitioner - Dentist 3971889064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32113TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Dentistry for Kids Sienna, PLLC Current Accepting new patients
Park Dentistry for Kids, PLLC Current Accepting new patients

Locations

102 Heights Blvd
Ste B
Houston, TX 77007
Phone (713) 993-7332

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1396926572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HEIGHTS BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073729",
            "telephone_number": "713-993-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HEIGHTS BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073729",
            "telephone_number": "713-993-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KRISTI",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32113",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32113",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "HATFIELD",
            "middle_name": "DANIELLE",
            "prefix": "DR.",
            "credential": "DDS, MSD, RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.