PARKER DENTAL (NPI# 1962056572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962056572 |
| Entity Type | Organization |
| Organization Name | PARKER DENTAL |
| Practice Address |
2872 Jamaica Blvd S Lake Havasu City AZ 86406-7707 |
| Practice Telephone | 9287336199 |
| Mailing Telephone | 9287336199 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | ILAN SHAMOS (OWNER) |
| Authorized Official Telephone | 9287336199 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 W Riverside Dr Ste 153, Parker, AZ 853445221 | 9286690099 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | PARKER DENTAL LLC | 502 South Main Street, Brownstown, IN 47220 |
| Colorado Business Entities | PARKER DENTAL MANAGEMENT LLC | 952 Chimney Rock Rd, Highlands Ranch, CO 80126 |
| Virginia Business Entities | Parker Dental PC | 3615 Old Forest Road, Lynchburg, Virginia 24501 |
| Street Address |
2872 JAMAICA BLVD S |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86406-7707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588942494 | Desirae Dental Services, Pllc | Dental Assistant | 2872 Jamaica Blvd S, Lake Havasu City, AZ 86406-7707 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924070 | James Richard Fisher | Durable Medical Equipment & Medical Supplies | 2540 Viejo Dr, Lake Havasu City, AZ 86406 | 2008-02-27 |
| 1265657969 | Eugene Vitvitsky Md | Surgery | 2046 Burke Lane, Lake Havasu City, AZ 86406 | 2007-04-16 |
| 1659497105 | Assisted Living Concepts Inc | Assisted Living Facility | 3076 Shoshone Drive, Lake Havasu, AZ 86406 | 2007-03-22 |
| 1164546750 | Charles Reese Mead | Dentist | 101 Riveria Dr, Lake Havasu, AZ 86406 | 2007-03-19 |
| 1427172550 | Jesdeen Lynn Nunez | Registered Nurse | 12033 Agency Road, Parker, AZ 86406 | 2007-03-16 |
| 1285797993 | Karen Ann Powell | Podiatrist | Oro Grande Elementary 1250 Pawnee Drive, Lake Havasu City, AZ 86406 | 2006-12-18 |
| 1215978606 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2800 Sweetwater Ave, Lake Havasu City, AZ 86406 | 2006-06-09 |
| 1467519512 | Catherine Evelyn Sondrol | Occupational Therapist | 3588 Tarpon Dr, Lake Havasu City, AZ 86406-4223 | 2007-01-01 |
| 1346477593 | Steven Bertovich | Registered Nurse | 3499 Tarpon Dr, Lake Havasu City, AZ 86406-4246 | 2009-06-15 |
| 1093975310 | Serenity Assisted Living | Assisted Living Facility | 3677 Blue Colt Dr, Lake Havasu City, AZ 86406-4273 | 2008-06-10 |
| Find all providers in zip 86406 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174876015 | Beacon of Health Family Chiropractic and Natural Medicine Center, Inc. | Clinic/Center | 1956 Mesquite Ave, #103, Lake Havasu City, AZ 86403-5888 | 2012-10-16 |
| 1437340098 | Havasu Rainbow Pediatrics | Clinic/Center | 1980 Mesquite Ave Ste 101, Lake Havasu City, AZ 86403-7713 | 2007-08-07 |
| 1316023864 | Mohave Mental Health Clinic Inc | Clinic/Center | 2187 Swanson Ave, Lake Havasu City, AZ 86403 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1962013474 | Stable Foundations Therapy Pllc | Clinic/Center | 12115 N Peaks Pkwy, Flagstaff, AZ 86004-5589 | 2020-08-10 |
| 1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1952928053 | Brio Inc | Clinic/Center | 11000 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-6168 | 2020-07-06 |
| 1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
| 1003436197 | Omo Ije's'a Pllc | Clinic/Center | 7309 E 28th St, Tucson, AZ 85710-5505 | 2020-04-20 |
| 1134752835 | Terry Wright | Clinic/Center | 1435 E University Dr, Tempe, AZ 85281-8473 | 2020-02-20 |
| 1265064265 | Hinds Mobile Md | Clinic/Center | 8485 E Mcdonald Dr # 214, Scottsdale, AZ 85250-6335 | 2020-02-07 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86406 |
Please comment or provide details below to improve the information on PARKER DENTAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.