Active NPI
Stanley N Parker, BC MS DMD JD
- General Practice Dentistry
- Ashland, KY
National Provider Identifier
1447386909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4662
- Practice address
- 1800 Carter Ave
Ashland, KY 41101-7643 - Phone
- (606) 324-7169
- Fax
- (606) 324-2092
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- 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 | 4662 | KY | Primary |
Addresses
Primary practice location
1800 Carter Ave
Ashland, KY 41101-7643
Mailing address
1800 Carter Ave
Ashland, KY 41101-7643
Phone (606) 324-7169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60046620 | Medicaid | KY |
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
- Credentials
- Juris Doctor, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4662 | KY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447386909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 CARTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017643",
"telephone_number": "606-324-7169",
"fax_number": "606-324-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CARTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017643",
"telephone_number": "606-324-7169",
"fax_number": "606-324-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "STANLEY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "BC MS DMD JD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "4662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60046620",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.