Parker-Gray Pediatric Dental Care, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401413943 Issued in VA

Legal business name

PARKER-GRAY PEDIATRIC DENTAL CARE, PC

Practice address

224 N Fayette St
Alexandria, VA 22314-2433

Phone

(703) 519-7275

Fax

(703) 519-7276

NPI assigned

Mar 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kesha Stephenson

Title

DDS/Owner

Phone

(301) 651-9592

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kesha Stephenson-Frazier

  • Pediatric Dentistry
  • Alexandria, VA
  • NPI 1205036464
  NPD (past)
• Shaden Alfaqih, DDS

  • Pediatric Dentistry
  • Washington, DC
  • NPI 1073071197
  NPD (past)

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393632000000",
    "number": "1609291533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N FAYETTE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142433",
            "telephone_number": "703-519-7275",
            "fax_number": "703-519-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N FAYETTE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142433",
            "telephone_number": "703-519-7275",
            "fax_number": "703-519-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER-GRAY PEDIATRIC DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-03-01",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "KESHA",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "301-651-9592",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401413943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Hee Young Park, MD
• Rebecca Park
• Si-Eun Park, DMD
• Sue Y Park, MD
• Sun Park, MOTR/L
• Kathleen P Parker-Lundgren, MD
• Charlene Lashelle Parker, AS,AA,BA,BS
• Heather Lauren Parker, LPC
• Jada Parker
• Milton Andrew Parker, D.D.S.

• Pediatric Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; 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.