Individual provider Active NPI

Digvijaysinh Parmar, DDS

  • General Practice Dentistry
  • Evansville, IN
National Provider Identifier
1477210367
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12014010A Issued in IN
Practice address
315 Mulberry St
Evansville, IN 47713-1252
Phone
(812) 492-8300
Fax
(812) 492-6525
NPI assigned
Nov 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12014040A IN
Student in an Organized Health Care Education/Training Program 390200000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12014010A IN Primary

Addresses

Primary practice location

315 Mulberry St
Evansville, IN 47713-1252

Mailing address

2 Executive Dr Ste a
Lafayette, IN 47905-4878
Phone (765) 807-6666

Other practice location 1

2 Executive Dr Ste A
Lafayette, IN 47905-4878
Phone (765) 807-6666

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

LicenseStateTypeSpecialty
12014040AINMDDentist
12014010AINMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: digvijaysinh.parmar.p1@direct.meridianhs.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1477210367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE DR STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054878",
            "telephone_number": "765-807-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131252",
            "telephone_number": "812-492-8300",
            "fax_number": "812-492-6525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Executive Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054878",
            "country_code": "US",
            "telephone_number": "765-807-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARMAR",
        "first_name": "DIGVIJAYSINH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-26",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014040A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014010A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.