Individual provider Active NPI

Daniel R Parmley, D.D.S.

  • General Practice Dentistry
  • Murphysboro, IL
National Provider Identifier
1881785418
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017524 Issued in IL
Practice address
217 Robert Morgan Rd
Murphysboro, IL 62966-6117
Phone
(618) 687-3737
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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 019017524 IL Primary

Addresses

Primary practice location

217 Robert Morgan Rd
Murphysboro, IL 62966-6117

Mailing address

217 Robert Morgan Rd
Murphysboro, IL 62966-6117
Phone (618) 687-3737

Other identifiers 1

IdentifierTypeStateIssuer
28189OtherILBLUE CROSS/BLUE SHIELD

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1881785418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ROBERT MORGAN RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666117",
            "telephone_number": "618-687-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ROBERT MORGAN RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666117",
            "telephone_number": "618-687-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMLEY",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "28189",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.