Individual provider Active NPI

Parker Duncan, DDS

  • General Practice Dentistry
  • Saginaw, MI
National Provider Identifier
1841858636
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600133 Issued in MI
Practice address
321 N Warren
Saginaw, MI 48607
Phone
(989) 754-7771
Fax
(989) 764-8792
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901600133 MI Primary

Addresses

Primary practice location

321 N Warren
Saginaw, MI 48607

Mailing address

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 759-6464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address parker.duncan@direct.medfusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619002053 MI Practitioner - Dentist 1557695921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Jun 11, 2019 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jun 11, 2019 Accepting new patients

Locations

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

321 N Warren Ave
Saginaw, MI 48607
Phone (989) 754-7771

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: parker.duncan.1@27771.direct.athenahealth.com

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1841858636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071203",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48607",
            "telephone_number": "989-754-7771",
            "fax_number": "989-764-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "PARKER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "parker.duncan@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "321 N Warren",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.