Physician Compare National (NPI:1255411450)

HEALTHCARE PROVIDER: JOHN PARKHUR DMD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255411450
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709172828
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170726001720
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PARKHUR
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BOSTON UNIV GOLDMAN SCHOOL OF DENTAL MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1521 N BROADWAY ST
	Group Practice or individual's line 1 address
City	SANTA ANA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	927063906
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y