Parkway Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PARKWAY PEDIATRIC DENTISTRY, PLLC

Practice address

3650 Colonial Ave
Roanoke, VA 24018-4004

Phone

(540) 989-3639

NPI assigned

Oct 31, 2020

Organization subpart

No

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

Authorized official

Name

Ryan R Reopelle, DDSNPI 1891133690

Title

Member

Phone

(701) 212-7428

Specialties & licenses 1

Addresses

Other names 1

• Parkway Pediatric Dentistry Doing business as

Electronic endpoints 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Reopelle, DDS

  • Pediatric Dentistry
  • Roanoke, VA
  • NPI 1891133690
  NPD Authorized official
• A Scott Anderson III, D.D.S.

  • Pediatric Dentistry
  • Roanoke, VA
  • NPI 1306800503
  NPD (past)
• David E. Bittel, DMD

  • Pediatric Dentistry
  • Roanoke, VA
  • NPI 1053375667
  NPD (past)

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1467052019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 CAVALIER DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183863",
            "telephone_number": "701-212-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184004",
            "telephone_number": "540-989-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "REOPELLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "701-212-7428",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PediatricDentistry@roacoxmail.com",
            "affiliation": "N",
            "address_1": "3650 Colonial Ave",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240184004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Parkway Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant S Parker, DO
• Jordyn Woods Parker, LPC
• Sarah Parker, COTA
• Charles Dudley Parks, D.D.S.
• Ilona Edyta Parks, D.O.
• Kistin Parlee, RN
• Dianna B Parrish, LCSW
• Kayla Marie Parrish, M.S. CCC-SLP
• Matthew Richard Parry, MD
• Anne Stuart Parsley, LPC

• Pediatric Dentistry in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.