Individual provider Active NPI

Jay R Parmer, DDS

  • General Practice Dentistry
  • Quanah, TX
National Provider Identifier
1477679702
Registry record updated Aug 29, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 20, 2012.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15813 Issued in TX
Practice address
1108 W 11TH St
Quanah, TX 79252
Phone
(940) 663-5880
Fax
(940) 663-2358
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15813 TX Primary

Addresses

Primary practice location

1108 W 11TH St
Quanah, TX 79252

Mailing address

PO Box 188
Quanah, TX 79252-0188
Phone (940) 663-5880

Other practice location 1

301 E 11th St
Quanah, TX 79252-5621
Phone (940) 663-5880

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
15813TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1477679702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792520188",
            "telephone_number": "940-663-5880",
            "fax_number": "940-663-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W 11TH ST",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "79252",
            "telephone_number": "940-663-5880",
            "fax_number": "940-663-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 11th St",
            "address_purpose": "LOCATION",
            "city": "Quanah",
            "state": "TX",
            "postal_code": "792525621",
            "country_code": "US",
            "telephone_number": "940-663-5880",
            "fax_number": "940-663-2358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARMER",
        "first_name": "JAY",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quanah, TX

Sources for this page

Verify at the official NPI Registry.