Active NPI
Parker David Wentz, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lubbock, TX
National Provider Identifier
1437860806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 37035
- Practice address
- 4013 84TH St
Lubbock, TX 79423-1913 - Phone
- (806) 792-7223
- NPI assigned
- Dec 7, 2022
- Last updated
- Jan 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 37035 | TX | Primary |
Addresses
Primary practice location
4013 84TH St
Lubbock, TX 79423-1913
Mailing address
3510 83Rd Dr
Lubbock, TX 79423-2656
Phone (806) 577-6933
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37035 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1437860806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 83RD DR",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232656",
"telephone_number": "806-577-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 84TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231913",
"telephone_number": "806-792-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZ",
"first_name": "PARKER",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-07",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "37035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- Kuline Elizabeth Wendling, PHARM. D.
- Wentz and Woodrich PLLC (Wentz and Woodrich Eyecare)
- Edwin Clarence Wentz, D.D.S
- Garrett Wentz, OD
- Lisa McDaniel Wentz, D.D.S.
- Donald Everett Wesson, M.D.
- West Carlisle Volunteer Fire Department, Inc. (west carlisle Fire/EMS)
- West Texas Allergy, Lubbock, PLLC
- West Texas Allergy, PA
- West Texas Audiology and Hearing Aid Center (The Hearing Docto)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.