Organization Active NPI

Gary a Parker DDS Apdc

  • General Practice Dentistry
  • Bogalusa, LA
National Provider Identifier
1740385574
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3321 Issued in LA
Legal business name
GARY A PARKER DDS APDC
Practice address
320 Austin St
Bogalusa, LA 70427-3818
Phone
(985) 735-7653
Fax
(985) 735-7688
NPI assigned
Sep 14, 2006
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Dr. Gary A Parker, DDSNPI 1700182854
Title
Dentist President
Phone
(985) 735-7653

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3321 LA
General Practice Dentistry 1223G0001X 3321 LA Primary

Addresses

Primary practice location

320 Austin St
Bogalusa, LA 70427-3818

Mailing address

320 Austin St
Bogalusa, LA 70427-3818
Phone (985) 735-7653

Other identifiers 1

IdentifierTypeStateIssuer
1833215MedicaidLA

National Provider Directory

National Provider Directory

Locations

320 Austin St
Bogalusa, LA 70427
Phone (985) 243-4389

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1740385574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 AUSTIN ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273818",
            "telephone_number": "985-735-7653",
            "fax_number": "985-735-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 AUSTIN ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273818",
            "telephone_number": "985-735-7653",
            "fax_number": "985-735-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A PARKER DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "985-735-7653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "3321",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1833215",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.