Parks Children's Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

61078 Issued in KS

Legal business name

PARKS CHILDREN'S DENTISTRY

Practice address

4601 W 109TH St
Suite 217
Overland Park, KS 66211-1318

Phone

(402) 469-4386

NPI assigned

May 2, 2014

Last updated

May 2, 2014By 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. Conrad Parks, D.D.SNPI 1568880581

Title

President

Phone

(402) 469-4386

Specialties & licenses 1

Addresses

Locations

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.

• Conrad Parks, D.D.S.

  • Pediatric Dentistry
  • Overland Park, KS
  • NPI 1568880581
  NPD (past) Authorized official

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1689084311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9068 E 23RD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382772",
            "telephone_number": "402-469-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST",
            "address_2": "SUITE 217",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111318",
            "telephone_number": "402-469-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-469-4386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "61078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy L Parker, MD
• Amy J Parkerson-Mitchell, MPT
• Gary Mark Parkhurst, M.D.
• Kristine Nichole Parkhurst, NNP-BC
• Ethan Hunter Avery Parkinson
• Alison Parks
• Amanda B Parks, MSN, ARNP
• Conrad Parks, D.D.S.
• Jaime L Parks, MS CCC-A, AU.D.
• Jennifer Ruck Parks

• Pediatric Dentistry in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.