Active NPI
Ricardo Parris
- Health Maintenance Organization
- Temple Hills, MD
National Provider Identifier
1851824049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Practice address
- 4013 23Rd Pkwy
Apt 12
Temple Hills, MD 20748-6655 - Phone
- (678) 609-4940
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
4013 23Rd Pkwy
Apt 12
Temple Hills, MD 20748-6655
Mailing address
4013 23Rd Pkwy
Apt 12
Temple Hills, MD 20748-6655
Phone (678) 609-4940
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1851824049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 23RD PKWY",
"address_2": "APT 12",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207486655",
"telephone_number": "678-609-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 23RD PKWY",
"address_2": "APT 12",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207486655",
"telephone_number": "678-609-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRIS",
"first_name": "RICARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.