Organization Active NPI

Parker Dental Center

  • Dental Clinic/Center
  • New Orleans, LA
National Provider Identifier
1457638744
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4574 Issued in LA
Legal business name
PARKER DENTAL CENTER
Practice address
5121 N Claiborne Ave
New Orleans, LA 70117-3605
Phone
(504) 949-4547
Fax
(504) 949-4611
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Kendall Paul Parker, D.D.S.NPI 1073618146
Title
Owner
Phone
(504) 949-4547

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 4574 LA Primary

Addresses

Primary practice location

5121 N Claiborne Ave
New Orleans, LA 70117-3605

Mailing address

5121 N Claiborne Ave
New Orleans, LA 70117-3605
Phone (504) 949-4547

Other identifiers 2

IdentifierTypeStateIssuer
1860841MedicaidLA
1845744MedicaidLA

National Provider Directory

National Provider Directory

Locations

5121 N Claiborne Ave
New Orleans, LA 70117
Phone (504) 949-4547

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": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1457638744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 N CLAIBORNE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701173605",
            "telephone_number": "504-949-4547",
            "fax_number": "504-949-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 N CLAIBORNE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701173605",
            "telephone_number": "504-949-4547",
            "fax_number": "504-949-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-949-4547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "4574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1860841",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1845744",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.