Rachael M Parker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2020023374 Issued in MO

Practice address

220 Southland Dr
Sikeston, MO 63801-4403

Phone

(573) 471-4167

Fax

(573) 471-4212

NPI assigned

Jul 28, 2020

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

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

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGBBCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HCC Network

  dba Live Well Community Health Center-Waverly

  • Federally Qualified Health Center (FQHC)
  • Waverly, MO
  • NPI 1174960769
  Medicare reassignment NPD
• HCC Network

  dba Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
  • NPI 1174992374
  NPD
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817
  NPD

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1760091524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 STATE HIGHWAY 77",
            "city": "BENTON",
            "state": "MO",
            "postal_code": "637368238",
            "telephone_number": "573-313-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SOUTHLAND DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014403",
            "telephone_number": "573-471-4167",
            "fax_number": "573-471-4212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 N Bismark St",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "MO",
            "postal_code": "640208180",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Missouri St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "MO",
            "postal_code": "640968241",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17611 E US Hwy 24",
            "address_2": "Suite HCC",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "64056",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 S Hudson St",
            "address_purpose": "LOCATION",
            "city": "Buckner",
            "state": "MO",
            "postal_code": "640168142",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 Harvest Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "MO",
            "postal_code": "646332412",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 S Business Highway 13 Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MO",
            "postal_code": "640671572",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RACHAEL",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020023374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sikeston, MO
• Providers in Sikeston, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.