Laura M Parks, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08317 Issued in IA

Legal business name

LAURA M PARKS, DDS

Doing business as

Patera Family Dentistry

Practice address

700 E 2ND St
Ida Grove, IA 51445-1601

Phone

(712) 364-3101

Fax

(712) 364-3102

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura M Parks, D.D.S.NPI 1497767099

Title

Owner

Phone

(712) 364-3101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Patera Family Dentistry Doing business as

Practitioners 1

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.

• Laura M Parks, DDS

  • General Practice Dentistry
  • Ida Grove, IA
  • NPI 1497767099
  Authorized official Same address or phone

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1548437874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-3101",
            "fax_number": "712-364-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-3101",
            "fax_number": "712-364-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA M PARKS, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-364-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465203",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patera Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ida Grove Family Health Center PLLC (Denison Family Health Center)
• Stephanie Dawn Jacobson, RDN LD
• Allen Jensen, PTA
• Sarah Kent, ARNP FNP-C
• Kismet Idg, LLC (Morningside Care Center)
• Amanda K Lefebvre, ARNP
• Eric E Luebbert, D.O.
• Medical Arts PLC
• Medical Imaging Services of Northwest Iowa, P.C.
• Midwest Properties of Ida Grove L.L.C. (Golden Horizons of Ida Grove)

• General Practice Dentistry in Ida Grove, IA
• Providers in Ida Grove, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.