Esi and Travis Parker LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ESI AND TRAVIS PARKER LLC

Practice address

1821 Chase Rd
Logansport, IN 46947-1200

Phone

(574) 753-4542

NPI assigned

Dec 16, 2020

Last updated

Dec 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eso Parker, DMD

Title

General Dentist

Phone

(574) 753-4542

Specialties & licenses 1

Addresses

Other names 1

• Goris Dental Other name

Locations

Practitioners 3

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.

• Esi Parker, DMD

  • General Practice Dentistry
  • Logansport, IN
  • NPI 1083276950
  NPD
• Travis Parker, DMD

  • General Practice Dentistry
  • Logansport, IN
  • NPI 1972155091
  NPD
• Jack Everett Goris, D.D.S.

  • General Practice Dentistry
  • Logansport, IN
  • NPI 1710037791
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1801482534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 CHASE RD",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471200",
            "telephone_number": "574-753-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 CHASE RD",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471200",
            "telephone_number": "574-753-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESI AND TRAVIS PARKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ESO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "574-753-4542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goris Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elite Home & Nursing Care, LLC
• Camellia Elliott
• Haley Ann Elliott, BCBA/LBA
• Brittany Ely
• Rachel Elizabeth Emery, MSN, RN, FNP-BC
• Jo Estes, NP
• Elaine Ashlyn Evanich
• Tom Evanich, P.T. A.
• Everside Health LLC
• Rose M Ewing, FNP-C

• Dental Clinic/Center in Logansport, IN
• Providers in Logansport, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.