Blake G. Parry, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

6126 Issued in AZ

Practice address

992 E Cottonwood LN Ste 106
Casa Grande, AZ 85222-2219

Phone

(520) 836-2600

Fax

(520) 836-2666

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Villago Dentistry LLC

  • General Practice Dentistry
  • Casa Grande, AZ
  • NPI 1780226464
  NPD (past)
• Villago Marketplace Dental Care PC

  • General Practice Dentistry
  • Casa Grande, AZ
  • NPI 1639333479
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720122948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 E ALOE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492772",
            "telephone_number": "480-726-1961",
            "fax_number": "520-836-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 E COTTONWOOD LN STE 106",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852222219",
            "telephone_number": "520-836-2600",
            "fax_number": "520-836-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRY",
        "first_name": "BLAKE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel A Paredes, RN
• Rachel Ann Paredes, SLPA
• Abigail Marie Parker, SLPA
• Cyann Parker
• Carol Ann Parkinson, MS, CCC-SLP
• Remy Rojas Pascual, CPNP
• Laura Pasieka, M.S.
• Gerald Edward Pass, D.O.
• Kelsie Dawn Pate, FNP
• Biren M Patel, MD

• Dentist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Dentist in Arizona

• 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.