Organization Active NPI

Russell C Parker DMD PLLC

  • Dental Clinic/Center
  • Decatur, AL
National Provider Identifier
1427820968
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RUSSELL C PARKER DMD PLLC
Practice address
2012 Danville Park Dr SW
Decatur, AL 35603-1832
Phone
(256) 350-5006
NPI assigned
Oct 27, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Dr. Russell Parker, DMDNPI 1407061252
Title
Owner
Phone
(256) 350-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU 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) 350-5006

Other identifiers 1

IdentifierTypeStateIssuer
D.007168-COtherALBOARD OF DENTAL EXAMINERS OF ALABAMA

National Provider Directory

National Provider Directory

Locations

2012 Danville Park Dr SW
Decatur, AL 35603
Phone (256) 350-5006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1427820968",
    "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": "256-350-5006"
        },
        {
            "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": "256-350-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL C PARKER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-350-5006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF DENTAL EXAMINERS OF ALABAMA",
            "identifier": "D.007168-C",
            "state": "AL"
        }
    ],
    "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 Oct 27, 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.

Verify at the official NPI Registry.