Active NPI
Sandra Parker DDS, Inc.
- Dental Clinic/Center
- Orange, CA
National Provider Identifier
1558680264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 50505
- Legal business name
- SANDRA PARKER DDS, INC.
- Practice address
- 807 E Katella Ave
Orange, CA 92867-4920 - Phone
- (714) 289-0421
- Fax
- (714) 289-0408
- NPI assigned
- May 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Parker, DDS
- Title
- Share Holder
- Phone
- (714) 289-0421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 50505 | CA | Primary |
Addresses
Primary practice location
807 E Katella Ave
Orange, CA 92867-4920
Mailing address
807 E Katella Ave
Orange, CA 92867-4920
Phone (714) 289-0421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93900-01 | Other | CA | MEDICAL |
National Provider Directory
National Provider DirectoryLocations
807 E Katella Ave
Orange, CA 92867
Phone (714) 282-0430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274227200000",
"number": "1558680264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 E KATELLA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928674920",
"telephone_number": "714-289-0421",
"fax_number": "714-289-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 E KATELLA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928674920",
"telephone_number": "714-289-0421",
"fax_number": "714-289-0408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDRA PARKER DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-19",
"last_updated": "2010-05-19",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "SHARE HOLDER",
"authorized_official_telephone_number": "714-289-0421",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "50505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "G93900-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.