Alyssa Nicole Yuxin Parker, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30.027647 Issued in OH

Practice address

4820 Ridge Ave
Cincinnati, OH 45209-1054

Phone

(513) 233-7656

NPI assigned

Mar 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lee Dental, LLC

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1164301537
  NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1881444933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 PAGOSA FALLS CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942257",
            "telephone_number": "832-795-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 RIDGE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091054",
            "telephone_number": "513-233-7656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 E Kemper Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452463224",
            "country_code": "US",
            "telephone_number": "513-642-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE YUXIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Miyoung Park, AGACNP-BC
• Steven Earl Park, M.D
• Yuhyun Park, SOCIAL WORKER TRAINE
• Aishia Parker-Burbridge
• Allison Marie Parker, DENTAL ASSISTANT
• Amanda S Parker, LPN
• Carol Ann Parker, CNP, MSN
• Corey Zmar Parker
• Cornelius Parker
• Danielle Leigh Parker

• Dentist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.