Active NPI
Wesley N Parks, DDS
- Dentist
- Lincoln, NE
National Provider Identifier
1508828997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5876
- Practice address
- 4210 Pioneer Woods Dr
Ste D
Lincoln, NE 68506-7557 - Phone
- (402) 202-9770
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5876 | NE | Primary |
Addresses
Primary practice location
4210 Pioneer Woods Dr
Ste D
Lincoln, NE 68506-7557
Mailing address
4210 Pioneer Woods Dr
Ste D
Lincoln, NE 68506-7557
Phone (402) 484-6042
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Woods Dental LLC | Past | Accepting new patients | |
| Family First Dental Associates of West Point, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Lincoln, NE
- NPI 1982837373
-
- General Practice Dentistry
- Lincoln, NE
- NPI 1912079781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1508828997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 PIONEER WOODS DR",
"address_2": "STE D",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067557",
"telephone_number": "402-484-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 PIONEER WOODS DR",
"address_2": "STE D",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067557",
"telephone_number": "402-202-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "WESLEY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.