Vijay S Parmar, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5074 Issued in WI

Practice address

2353 S Ridge Rd
Green Bay, WI 54304-5069

Phone

(920) 499-0471

Fax

(920) 499-8312

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Opted out of Medicare

Yes, effective May 1, 2021 through May 1, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447274071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045069",
            "telephone_number": "920-499-0471",
            "fax_number": "920-499-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045069",
            "telephone_number": "920-499-0471",
            "fax_number": "920-499-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMAR",
        "first_name": "VIJAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Parker, PT
• Parkview Manor Healthcare LLC (Parkview Manor Health and Rehabilitation Center)
• Parkview Nursing and Rehab, LLC
• Alishia Parma
• Michael Parman, M.D.
• Tchaiko M Parris, MD
• Pas de Deux LLC (Nurse Next Door Green Bay)
• Adam Pasono, D.D.S.
• Jessica Leigh Pasono, D.D.S.
• Susan Kay Pasowicz, APNP

• Oral and Maxillofacial Surgery (Dentist) in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.