Active NPI
Russell C. Parker, D.M.D.
- General Practice Dentistry
- Decatur, AL
National Provider Identifier
1407061252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D.007168-C
- Practice address
- 2012 Danville Park Dr SW
Decatur, AL 35603-1832 - Phone
- (256) 973-8093
- NPI assigned
- May 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D.007168-C | AL | Primary |
Addresses
Primary practice location
2012 Danville Park Dr SW
Decatur, AL 35603-1832
Mailing address
2012 Danville Park Dr SW
Decatur, AL 35603-1832
Phone (256) 973-8093
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007168-C | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell C Parker DMD PLLC | Current | Accepting new patients | |
| J.a. Willis, DMD and Russell Parker, DMD Family Dentistry | General Practice | Past | Accepting new patients |
| Gulf Islands Dentistry, PLLC | Past | Accepting new patients |
Locations
2012 Danville Park Dr SW
Decatur, AL 35603
Phone (256) 350-5006
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Decatur, AL
- NPI 1427820968
-
- Dentist
- Pascagoula, MS
- NPI 1831576644
-
- General Practice Dentistry
- Pascagoula, MS
- NPI 1760697437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1407061252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 DANVILLE PARK DR SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031832",
"telephone_number": "256-973-8093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 DANVILLE PARK DR SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031832",
"telephone_number": "256-973-8093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "RUSSELL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.007168-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.