TINA JOELL-KENNEDY PARKER DDS
NPI 1013105782
Dentist in Wallace, NC

Q: What is Tina Parker's NPI number?

The NPI number for Tina Parker is 1013105782. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Q: What is Tina Parker's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Parker was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 09, 2007PECOS Enrolled

522 S NORWOOD ST, WALLACE, NC 28466(910) 285-7800 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2020, Aug 18, 2016 (2 updates tracked since 2016).

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About Tina Joell-kennedy Parker Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA JOELL-KENNEDY PARKER DDS (NPI 1013105782) is an individual dentist in Wallace, North Carolina, licensed in North Carolina (8553) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013105782

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameTINA JOELL-KENNEDY PARKERCredential: DDS

Location Address522 S NORWOOD STWallace, NC 28466-1620

Mailing Address522 S Norwood St, P O Box 875Wallace, NC 28466-1620 · (910) 285-7800

Phone(910) 285-7800

Sole ProprietorNo

Enumeration DateOctober 9, 2007

Last NPPES UpdateJune 11, 20202 updates tracked since enumeration

NPPES CertifiedJune 11, 2020

✔ NPI 1013105782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 8553

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

522 S NORWOOD ST, Wallace, NC 28466

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Joell-kennedy Parker Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A DARREN SHOLAR, DDS,PA

Dentist (General Practice)

522 S NORWOOD ST
WALLACE, NC 28466

Duplin County (910) 285-7800

AXON DARREN SHOLAR DDS

Dentist (General Practice)

522 S NORWOOD ST
WALLACE, NC 28466

Duplin County (910) 285-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Parker's NPI number?

The NPI number for Tina Parker is 1013105782. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Tina Parker located?

Tina Parker practices at 522 S Norwood St, Wallace, NC 28466. The listed phone number is (910) 285-7800.

What is Tina Parker's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tina Parker enrolled in Medicare?

Yes. Tina Parker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Parker was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.