Stephen M Parker DDS LTD

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STEPHEN M PARKER DDS LTD

Practice address

300 Center Dr
Suite 106
Vernon Hills, IL 60061-1525

Phone

(847) 247-4444

Fax

(847) 247-4425

NPI assigned

Aug 23, 2011

Last updated

Aug 23, 2011By 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

Stephen Michael Parker, D. D. S.

Title

President

Phone

(847) 247-4444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1841570892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE 106",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611525",
            "telephone_number": "847-247-4444",
            "fax_number": "847-247-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE 106",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611525",
            "telephone_number": "847-247-4444",
            "fax_number": "847-247-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M PARKER DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-247-4444",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "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 Aug 23, 2011; 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.