Parkcenter Smiles LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARKCENTER SMILES LLC

Practice address

600 E Riverpark LN Ste 140
Boise, ID 83706-6509

Phone

(208) 841-5038

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Roseann Mooney, DMDNPI 1194737825

Title

Owner

Phone

(208) 841-5038

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roseann T Mooney, D.M.D.

  • Dentist
  • Boise, ID
  • NPI 1194737825
  NPD Authorized official

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1891553483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 S HOLDEN LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065032",
            "telephone_number": "208-841-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN STE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066509",
            "telephone_number": "208-841-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKCENTER SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-841-5038",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karrie Ann Pargman
• Grace Macall Pariseau
• Alyssa Lejeana Parish
• Park Center Foot and Ankle
• Parkcenter Oral and Maxillofacial Surgery
• Carolyn Parker
• Johnna L Parker, M.A.,CCC-SLP
• Karen Patrice Parker, MS
• Kayla Rae Parker, LMSW
• Ashley Ann Parkinson, LPC

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.