Individual provider Active NPI

Laura Ann Parra, D.D.S.

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1700962180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC5415 Issued in NC
Practice address
3400 Croasdaile Dr
Suite 209
Durham, NC 27705-6815
Phone
(919) 383-7020
Fax
(919) 383-3141
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NC5415 NC Primary

Addresses

Primary practice location

3400 Croasdaile Dr
Suite 209
Durham, NC 27705-6815

Mailing address

3400 Croasdaile Dr
Suite 209
Durham, NC 27705-6815
Phone (919) 383-7020

Other identifiers 1

IdentifierTypeStateIssuer
8996636MedicaidNC

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
NC5415NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mauro Nunes, DDS Ms, PLLC General Practice PastSince Dec 10, 2023 Accepting new patients
Laura a Parra, DDS, PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700962180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR",
            "address_2": "SUITE 209",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056815",
            "telephone_number": "919-383-7020",
            "fax_number": "919-383-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR",
            "address_2": "SUITE 209",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056815",
            "telephone_number": "919-383-7020",
            "fax_number": "919-383-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC5415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996636",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.