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DR. PARKER ROUSTIO DMD
NPI 1841976842
Dentist - General Practice in O Fallon, IL

Active since June 23, 2023
1002 E WESLEY DR STE 200, O FALLON, IL 62269(618) 628-7080(618) 628-9235 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Jun 23, 2023 (2 updates tracked since 2023).

About Dr. Parker Roustio Dmd NPPES

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

DR. PARKER ROUSTIO DMD (NPI 1841976842) is an individual general practice provider in O Fallon, Illinois, licensed in Illinois (019.034489) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1841976842
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PARKER ROUSTIOCredential: DMD
Location Address1002 E WESLEY DR STE 200O Fallon, IL 62269-6143
Mailing Address8422 Braeswood Estates DrO Fallon, IL 62269-4247
Phone(618) 628-7080
Fax(618) 628-9235
Sole ProprietorNo
Enumeration DateJune 23, 2023
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1841976842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.034489
Definition
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.
1002 E WESLEY DR STE 200, O Fallon, IL 62269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES

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

PARKER ROUSTIO DMD INC.
Dentist
1002 E WESLEY DR STE 200
O FALLON, IL 62269
St. Clair County (618) 628-7080

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 Parker Roustio's NPI number?

The NPI number for Parker Roustio is 1841976842. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Parker Roustio located?

Parker Roustio practices at 1002 E Wesley Dr Ste 200, O Fallon, IL 62269. The listed phone number is (618) 628-7080.

What is Parker Roustio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Parker Roustio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Parker Roustio 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 Parker Roustio was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.