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NPI · 1629063680 · NPPES-sourced

Parks Dermatology Center LLC

ActiveDermatology
NPI Number
1629063680
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(386) 677-9044
Primary practice line
Last Updated
Enumerated
Primary practice addressFL · 32174-5157
400 Lakebridge Plaza DrOrmond Beach, FL 32174-5157
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About this NPIWhat this record shows.

NPI 1629063680 is registered to Parks Dermatology Center LLC, a healthcare organisation classified as "Dermatology" and located at 400 Lakebridge Plaza Dr in Ormond Beach, Florida. The organisation's authorised official is Jeffrey Parks. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Parks Dermatology Center LLC accepts. To confirm in-network status with your specific health plan, contact Parks Dermatology Center LLC directly at (386) 677-9044.

Frequently asked

Yes. NPI 1629063680 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (386) 677-9044.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Parks Dermatology Center LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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