DR. LAVAN R PARKER III DDS
NPI 1063491462
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Active since January 13, 2006Opted out of Medicare · through Jul 26, 2027
6501 BLANCO RD, SAN ANTONIO, TX 78216(210) 341-7264(210) 341-2022 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Lavan R Parker Iii Dds NPPES

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

DR. LAVAN R PARKER III DDS (NPI 1063491462) is an individual oral and maxillofacial surgery provider in San Antonio, Texas, licensed in Texas (17827) and active in the NPI registry since January 2006. He has opted out of Medicare through July 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063491462
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LAVAN R PARKER IIICredential: DDS
Location Address6501 BLANCO RDSan Antonio, TX 78216
Mailing Address6501 Blanco RdSan Antonio, TX 78216 · (210) 341-7264 · Fax (210) 341-2022
Fax(210) 341-2022
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJanuary 26, 2011
✔ NPI 1063491462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 17827
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6501 BLANCO RD, San Antonio, TX 78216

Other Identifiers 13

Other80W704Bcbs
Medicaid151926608TX
Other838355United Concordia
Medicaid151926607TX
Medicaid151926603TX
Medicaid151926606TX
Other731009960006Tricare
Medicare UPINU89966
OtherP00147516Railroad Medicare
Medicare ID-Type Unspecified80W704
Medicaid151926605TX
Medicaid151926601TX
Medicaid151926602TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lavan R Parker Iii Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 26, 2021 through July 26, 2027.

Opt-Out Effective DateJuly 26, 2021
Opt-Out In Effect ThroughJuly 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 6

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

Dentist (Oral and Maxillofacial Surgery)
6501 BLANCO RD
SAN ANTONIO, TX 78216
Dentist (Oral and Maxillofacial Surgery)
6501 BLANCO RD
SAN ANTONIO, TX 78216
Clinic/Center (Ambulatory Surgical)
6501 BLANCO RD
SAN ANTONIO, TX 78216
Dentist (Oral and Maxillofacial Surgery)
6501 BLANCO RD
SAN ANTONIO, TX 78216
Clinic/Center (Ambulatory Surgical)
6501 BLANCO RD
SAN ANTONIO, TX 78216
Dentist (Oral and Maxillofacial Surgery)
6501 BLANCO RD
SAN ANTONIO, TX 78216

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 Lavan Parker's NPI number?

The NPI number for Lavan Parker is 1063491462. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Lavan Parker located?

Lavan Parker practices at 6501 Blanco Rd, San Antonio, TX 78216. The listed phone number is (210) 341-7264.

What is Lavan Parker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Lavan Parker enrolled in Medicare?

No. Lavan Parker has opted out of Medicare through July 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Lavan Parker accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list Lavan Parker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lavan Parker was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.