DR. ANTHONY J. PARKER (NPI# 1578697504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578697504 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY J. PARKER |
| Credential | D.D.S. |
| Practice Address |
5912 W Lawrence Ave Chicago IL 60630-3130 |
| Practice Telephone | 7732821541 |
| Practice Fax Number | 7732824881 |
| Mailing Telephone | 7732821541 |
| Mailing Fax Number | 7732824881 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19A15148 | IL | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
021001289 | IL | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
021001200 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS MEDICAL PROVIDER # | 0080016184 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1275519019 | Anthony Joseph Parker | Dentist | 38th Street, Usa Dentac, Bldg 38717, Ft Gordon, GA 30905-5660 | 2005-12-22 |
| 1114541653 | Anthony Parker | Behavior Technician | 39 E Franklin St, Hagerstown, MD 21740-4914 | 2020-06-01 |
| 1114486214 | Anthony Parker | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-03-18 |
| 1750887873 | Anthony Parker | Counselor | 900 7th St, Clarkston, WA 99403-2005 | 2018-04-05 |
| 1063948990 | Anthony Jerome Parker | Orthopaedic Surgery | 1111 N Dewey Ave, Oklahoma City, OK 73103-2609 | 2017-05-11 |
| 1841744240 | Anthony Parker | Secured Medical Transport (VAN) | 4068 Windsor Heights Pl, White Plains, MD 20695-3454 | 2016-08-15 |
| Street Address |
5912 W LAWRENCE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801271184 | Jamie Ann Korolyov | Dentist | 5912 W Lawrence Ave, Chicago, IL 60630-3305 | 2015-07-28 |
| 1366889503 | Parker and Associates, D.d.s, P.C. | Dentist | 5912 W Lawrence Ave, Chicago, IL 60630-3305 | 2013-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| 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 |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| Find all providers in CHICAGO | ||||
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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.