Organization Active NPI

Sandra Parker DDS, Inc.

  • Dental Clinic/Center
  • Orange, CA
National Provider Identifier
1558680264
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50505 Issued in CA
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

Updated by the provider on May 19, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G93900-01OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.