NPIMap

Organization Active NPI

Park Dental Management Company

  • General Practice Dentistry
  • Carson City, NV
National Provider Identifier
1710315668
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0726 Issued in NV
Legal business name
PARK DENTAL MANAGEMENT COMPANY
Practice address
501 S Division St
Carson City, NV 89703-4658
Phone
(775) 882-1195
Fax
(775) 882-3037
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Dr. Elizabeth Park, D.D.S.NPI 1003999889
Title
President
Phone
(775) 882-1195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0726 NV Primary

Addresses

Primary practice location

501 S Division St
Carson City, NV 89703-4658

Mailing address

501 S Division St
Carson City, NV 89703-4658
Phone (775) 882-1195

National Provider Directory

National Provider Directory

Locations

501 S Division St
Carson City, NV 89703
Phone (775) 882-1195

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1710315668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034658",
            "telephone_number": "775-882-1195",
            "fax_number": "775-882-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034658",
            "telephone_number": "775-882-1195",
            "fax_number": "775-882-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-882-1195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "0726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.