Individual provider Active NPI

George Levy Parker, DDS

  • General Practice Dentistry
  • Blythe, CA
National Provider Identifier
1407334535
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102895 Issued in CA
Practice address
1415 W Hobsonway
Blythe, CA 92225-1479
Phone
(909) 900-3303
NPI assigned
Jul 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 102895 CA Primary

Addresses

Primary practice location

1415 W Hobsonway
Blythe, CA 92225-1479

Mailing address

1415 W Hobsonway
Blythe, CA 92225-1479
Phone (909) 900-3303

Other practice location 1

16475 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1259
Phone (909) 357-0869

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102895CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson and Chokka Dental Corporation General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1407334535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251479",
            "telephone_number": "909-900-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251479",
            "telephone_number": "909-900-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16475 Sierra Lakes Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923361259",
            "country_code": "US",
            "telephone_number": "909-357-0869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "GEORGE",
        "middle_name": "LEVY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

Verify at the official NPI Registry.