Gwendolyn Rochie Daniels Parks, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

MD10129 Issued in MD

Practice address

2201 Queens Chapel Rd
Hyattsville, MD 20782-3672

Phone

(301) 779-2744

Fax

(301) 779-6447

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841414646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823672",
            "telephone_number": "301-779-2744",
            "fax_number": "301-779-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823672",
            "telephone_number": "301-779-2744",
            "fax_number": "301-779-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS PARKS",
        "first_name": "GWENDOLYN",
        "middle_name": "ROCHIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "MD10129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.