Individual provider Active NPI

Veronica Ann Parnell, DMD

  • General Practice Dentistry
  • Rockwall, TX
National Provider Identifier
1720606015
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36283 Issued in TX
Practice address
1039 E Interstate 30 Ste 107
Rockwall, TX 75087-4912
Phone
(972) 722-4914
Fax
(972) 722-5030
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 36283 TX Primary

Addresses

Primary practice location

1039 E Interstate 30 Ste 107
Rockwall, TX 75087-4912

Mailing address

1039 E Interstate 30 Ste 107
Rockwall, TX 75087-4912
Phone (972) 722-4914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616000375 TX Order and Referring Only - DentistPractitioner - Dentist 1052711827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36283TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwall Modern Dentistry and Orthodontics, PC General Practice PastSince May 1, 2022 Accepting new patients
Plano Modern Dentistry, PC General Practice PastSince Jul 1, 2020 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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1720606015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 E INTERSTATE 30 STE 107",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874912",
            "telephone_number": "972-722-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 E INTERSTATE 30 STE 107",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874912",
            "telephone_number": "972-722-4914",
            "fax_number": "972-722-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "VERONICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.