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PHILLIP PARKER DDS
NPI 1902214604
Advanced Practice Dental Therapist in Stone Ridge, NY

Active since July 25, 2014PECOS Enrolled
3669 MAIN ST, STONE RIDGE, NY 12484(845) 687-0066 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip Parker Dds NPPES

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

PHILLIP PARKER DDS (NPI 1902214604) is an individual advanced practice dental therapist in Stone Ridge, New York, licensed in New York (040 171 1) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902214604
Entity TypeIndividualMale
Primary Taxonomy125K00000X
Provider Legal NamePHILLIP PARKERCredential: DDS
Location Address3669 MAIN STStone Ridge, NY 12484-5613
Mailing Address24 Twin Ponds DrKingston, NY 12401-6432 · (845) 338-2999
Phone(845) 687-0066
Sole ProprietorYes
Enumeration DateJuly 25, 2014
✔ NPI 1902214604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice Dental TherapistDental Providers
Taxonomy Code125K00000X
License✔ Licensed in NY · 040 171 1
Definition
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
3669 MAIN ST, Stone Ridge, NY 12484
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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)

Phillip 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.

Other Providers at the Same Location NPPES

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

MINDHEALTH PSYCHOLOGICAL SERVICES, PLLC
Psychologist (Clinical)
3669 MAIN ST, SUITE 5
STONE RIDGE, NY 12484
Ulster County (845) 784-7862

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 Phillip Parker's NPI number?

The NPI number for Phillip Parker is 1902214604. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Where is Phillip Parker located?

Phillip Parker practices at 3669 Main St, Stone Ridge, NY 12484. The listed phone number is (845) 687-0066.

What is Phillip Parker's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

Is Phillip Parker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Phillip Parker was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.