Individual provider Active NPI

Lincoln Charles Parker, D.M.D

  • Dentist
  • Ladera Ranch, CA
National Provider Identifier
1831536846
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61389 Issued in CA
Practice address
777 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-2135
Phone
(949) 429-0049
Fax
(949) 602-9274
NPI assigned
May 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61389 CA Primary

Addresses

Primary practice location

777 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-2135

Mailing address

777 Corporate Dr Ste 100
Ladera Ranch, CA 92694-2138
Phone (949) 429-0049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61389CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parker and Hales Dental Partnership CurrentSince Apr 23, 2023 Accepting new patients
Lincoln Parker DMD a Professional Dental Corporation Dentist PastSince Dec 6, 2022 Accepting new patients

Locations

777 Corporate Dr
Ste 100
Ladera Ranch, CA 92694
Phone (949) 429-0049

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1831536846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR STE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942138",
            "telephone_number": "949-429-0049",
            "fax_number": "949-602-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135",
            "telephone_number": "949-429-0049",
            "fax_number": "949-602-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LINCOLN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.