Roberto Francisco Parra, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

050728 Issued in NY

Practice address

4501 Vestal Pkwy
Vestal, NY 13850-3534

Phone

(607) 777-1340

Fax

(607) 777-1345

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New York Dental LLC

  • Dentist
  • Vestal, NY
  • NPI 1164403093
  NPD (past)
• Delaware Valley Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1235956921
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1790985505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 VESTAL PKWY",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503534",
            "telephone_number": "607-777-1340",
            "fax_number": "607-777-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 VESTAL PKWY",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503534",
            "telephone_number": "607-777-1340",
            "fax_number": "607-777-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "ROBERTO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02409483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Pardoe, PA
• Roshni Parikh, FNP
• Sarah Elizabeth Park, PA-C
• Woojin Park
• Parkway Dental Practice, PC
• Elizabeth Paige Parsons, PH.D.
• Jamie Pastrick, DPT
• Dharmesh R Patel, MD
• Taral A Patel, O.D.
• Prodip Kumar Paul, MD

• Dentist in Vestal, NY
• Providers in Vestal, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.