Individual provider Active NPI

Darlene Renea Parrish, DMD

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1942307756
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-10271 Issued in IA
Practice address
1345 E. University Avenue Ste 302
Des Moines, IA 50316
Phone
(515) 264-9022
Fax
(515) 264-9011
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X DN19964 FL
General Practice Dentistry 1223G0001X 11033 GA
General Practice Dentistry 1223G0001X DDS-10271 IA Primary

Addresses

Primary practice location

1345 E. University Avenue Ste 302
Des Moines, IA 50316

Mailing address

1345 E. University Avenue Ste 302
Des Moines, IA 50316
Phone (515) 264-9022

Other identifiers 2

IdentifierTypeStateIssuer
006551100MedicaidFL
00472216AMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
DN19964FLMDPublic Health Dentist
11033GAMDGeneral Practice Dentistry
DDS-10271IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1942307756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E. UNIVERSITY AVENUE STE 302",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50316",
            "telephone_number": "515-264-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E. UNIVERSITY AVENUE STE 302",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50316",
            "telephone_number": "515-264-9022",
            "fax_number": "515-264-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "DARLENE",
        "middle_name": "RENEA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN19964",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11033",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006551100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00472216A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.