Individual provider Active NPI

Kevin Michael Parsons, DMD

  • General Practice Dentistry
  • Wilsonville, OR
National Provider Identifier
1699244574
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10941 Issued in OR
Practice address
30485 SW Boones Ferry Rd Ste 203
Wilsonville, OR 97070-7845
Phone
(503) 682-3743
NPI assigned
Nov 20, 2018
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 D10941 OR Primary

Addresses

Primary practice location

30485 SW Boones Ferry Rd Ste 203
Wilsonville, OR 97070-7845

Mailing address

30485 SW Boones Ferry Rd Ste 203
Wilsonville, OR 97070-7845
Phone (503) 682-3743

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
D10941ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Parsons DMD LLC Current Accepting new patients

Locations

30485 SW Boones Ferry Rd
Ste 203
Wilsonville, OR 97070
Phone (503) 682-3743

Organizations & group practices 1

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1699244574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30485 SW BOONES FERRY RD STE 203",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707845",
            "telephone_number": "503-682-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30485 SW BOONES FERRY RD STE 203",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707845",
            "telephone_number": "503-682-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.