David Dillon Parks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2776 Issued in NC

Practice address

851 Old Winston Rd
Suite 105
Kernersville, NC 27284-8780

Phone

(336) 993-9690

Fax

(336) 993-9692

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Piedmont Chiropractic Center, P.a.

  • Orthopedic Chiropractor
  • Kernersville, NC
  • NPI 1205931433
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770547937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 OLD WINSTON RD",
            "address_2": "SUITE 105",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848780",
            "telephone_number": "336-993-9690",
            "fax_number": "336-993-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 OLD WINSTON RD",
            "address_2": "SUITE 105",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848780",
            "telephone_number": "336-993-9690",
            "fax_number": "336-993-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "DAVID",
        "middle_name": "DILLON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0847M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890847M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaverence Lawanda Outlaw, LRT/CTRS
• Brian W Owens, CFA
• Stacy Pace
• Lucas Padulsky
• Dalya Panbehchi
• Kimberly Parrish
• Partners Therapy & Consulting PLLC
• Raejonna Lin Pascarella, PA-C
• Jayshil Patel, RPH
• Kristin Amalia Patel, M.D.

• Chiropractor in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Chiropractor in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.