Individual provider Active NPI

Steven E Parker, D.D.S.

  • General Practice Dentistry
  • Massillon, OH
National Provider Identifier
1609941137
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18539 Issued in OH
Practice address
3817 Lincoln Way E
Massillon, OH 44646-3722
Phone
(330) 477-9595
Fax
(330) 477-9449
NPI assigned
Nov 21, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18539 OH Primary

Addresses

Primary practice location

3817 Lincoln Way E
Massillon, OH 44646-3722

Mailing address

3817 Lincoln Way E
Massillon, OH 44646-3722
Phone (330) 477-9595

Other identifiers 1

IdentifierTypeStateIssuer
2443038MedicaidOH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18539OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven E. Parker DDS CurrentSince Jul 21, 2024 Accepting new patients
TD Dental LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1609941137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463722",
            "telephone_number": "330-477-9595",
            "fax_number": "330-477-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463722",
            "telephone_number": "330-477-9595",
            "fax_number": "330-477-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "STEVEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2443038",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.