Mary Francis Ann Parks

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61578578 Issued in ID

Practice address

1260 SE Bishop Blvd Ste Aandb
Pullman, WA 99163-5451

Phone

(509) 332-1509

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Francis Ann Kaschmitter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mary Parks DMD PLLC

  • Dental Clinic/Center
  • Pullman, WA
  • NPI 1467281451
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1780375485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SE BISHOP BLVD STE AANDB",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635451",
            "telephone_number": "509-332-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SE BISHOP BLVD STE AANDB",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635451",
            "telephone_number": "509-332-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MARY FRANCIS",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "DE61578578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY FRANCIS",
            "last_name": "KASCHMITTER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Palouse Specialty Physicians, P.S.
• Palouse Surgeons, LLC
• Palouse Urology PLLC
• Nancy Bishop Panko, MD
• Christina Pansegrau, MT-BC
• Seth Curtis Parks
• Juan David Parra Valencia, MD
• Holli Parrish, DPT
• Pathway Counseling Services PLLC
• Katherine Brianne Paul

• All providers in Pullman, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.