Active NPI
Sandra Lizbeth Parker, DDS
- General Practice Dentistry
- Orange, CA
National Provider Identifier
1417932047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50505
- Practice address
- 807 E Katella Ave
Orange, CA 92867-4920 - Phone
- (714) 289-0421
- Fax
- (714) 289-0408
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- 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 | 50505 | CA | Primary |
Addresses
Primary practice location
807 E Katella Ave
Orange, CA 92867-4920
Mailing address
843 S State College Blvd
Anaheim, CA 92806-4613
Phone (714) 289-0421
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 |
|---|---|---|---|
| 50505 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1417932047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 S STATE COLLEGE BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928064613",
"telephone_number": "714-289-0421",
"fax_number": "714-289-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 E KATELLA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928674920",
"telephone_number": "714-289-0421",
"fax_number": "714-289-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "SANDRA",
"middle_name": "LIZBETH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.