MR. ROBERT EARL PARKS (NPI# 1316192412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316192412 |
| Entity Type | Individual |
| Full Name | MR. ROBERT EARL PARKS |
| Credential | DDS |
| Practice Address |
3302 Renner Drive Fortuna CA 95540-3120 |
| Practice Telephone | 7077259311 |
| Practice Fax Number | 7077259300 |
| Mailing Telephone | 7077259311 |
| Mailing Fax Number | 7077259300 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21629 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255402384 | Robert Allen Parks | Physician Assistant | 6300 22 Mile Rd Ste 2, Shelby Twp, MI 48317-2106 | 2006-11-12 |
| 1750356671 | Robert J Parks | Chiropractor | 6415 1st Ave S, St Petersburg, FL 33707-1301 | 2006-02-22 |
| 1093870545 | Robert Craig Parks | Optometrist | 130 Almshouse Rd, Suite 403, Richboro, PA 18954-1100 | 2006-12-26 |
| 1336162445 | Robert Parks | Podiatrist | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-07-26 |
| 1356380497 | Robert Parks | Internal Medicine | 201 Bailey Ln, Benton, IL 62812-1969 | 2006-06-05 |
| 1932152147 | Robert Joseph Parks | Optometrist | 75 Lambert Lind Hwy, Suite 110, Warwick, RI 02886 | 2006-05-18 |
| 1770581332 | Robert Edward Albert Parks | Emergency Medicine | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2005-07-08 |
| 1801891916 | Robert R Parks | Otolaryngology | 3680 Hill Blvd, Care Mount Medical, PC, Jefferson Valley, NY 10535-1500 | 2005-06-15 |
| 1598760878 | Robert Parks Jr. | Anesthesiology | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 | 2005-06-14 |
| Street Address |
3302 RENNER DRIVE |
| City | FORTUNA |
| State | CA |
| Zip Code | 95540-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234787 | Remi Vista, Inc. | Community/Behavioral Health | 3000 Newburg, Fortuna, CA 95540 | 2020-01-21 |
| 1144867474 | Paula-marie Schneider | Registered Nurse | 3750 Rohnerville Rd., Fortuna, CA 95540 | 2019-12-05 |
| 1609265537 | Nancy Stinson Lollich | Physical Therapy Assistant | 2321 Newburg Road, Fortuna Rehabilitation and Wellness, Fortuna, CA 95540 | 2015-01-15 |
| 1730438151 | Heber House Inc. Dba Dermatology Center | Dermatology | 2404 Newburg Rd., Fortuna, CA 95540 | 2012-08-30 |
| 1104173418 | Michelle Leigh Hoopes | Physician Assistant | 3304 Renner Dr Suite B, Fortuna, CA 95540 | 2012-08-07 |
| 1205181526 | Constance Mitchell | Registered Nurse | Redwood Pediatrics, 3305 Renner Dr, Fortuna, CA 95540 | 2012-07-24 |
| 1730457177 | Joy Nadine Frasier | Counselor | 220 Wilson Ln., Fortuna, CA 95540 | 2011-12-13 |
| 1063791713 | Gardenside Eldercare, LLC | Residential Treatment Facility, Physical Disabilities | 529 9th Street, Fortuna, CA 95540 | 2011-08-12 |
| 1093025173 | Sheri A Jewett | Massage Therapist | 2655 Virginia Court, Fortuna, CA 95540 | 2010-10-07 |
| 1134371339 | Mariana Van Der Merwe | Pharmacist | 725 South Boulevard, Rite Aid Pharmacy, Fortuna, CA 95540 | 2008-10-21 |
| Find all providers in zip 95540 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154533966 | Jones and Hindbaugh Partnership | Dentist | 2594 Shay Ct, Fortuna, CA 95540-2852 | 2007-05-04 |
| 1912904020 | Michael Peter Belluscio | Dentist | 1003 Loni Dr, Fortuna, CA 95540-2347 | 2005-07-05 |
| 1073783163 | Brett Michael Wonenberg | Dentist | 1730 Main St, Suite A, Fortuna, CA 95540-2451 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.