NPIMap

Organization Active NPI

Lincoln Parker DMD a Professional Dental Corporation

Doing business as Parker Dentistry

  • Dentist
  • Ladera Ranch, CA
National Provider Identifier
1740619980
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61389 Issued in CA
Legal business name
LINCOLN PARKER DMD A PROFESSIONAL DENTAL CORPORATION
Doing business as
Parker Dentistry
Practice address
777 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-2135
Phone
(949) 429-0049
Fax
(425) 671-0756
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Shanalee Ackerman, RDH
Title
Manager
Phone
(425) 503-1607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 61389 CA Primary

Addresses

Primary practice location

777 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-2135

Mailing address

777 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-2135
Phone (949) 429-0049

Other names 1

  • Parker Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

777 Corporate Dr
Ste 100
Ladera Ranch, CA 92694
Phone (949) 429-0049

Practitioners & affiliated clinicians

Practitioners 2

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": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1740619980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135",
            "telephone_number": "949-429-0049",
            "fax_number": "425-671-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135",
            "telephone_number": "949-429-0049",
            "fax_number": "425-671-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARKER DMD A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "SHANALEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-503-1607",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ladera Ranch, CA

Sources for this page

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