Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Parks III

Individual provider Case Manager/Care Coordinator · NPI 1265167761

Jack Parks III is a Case Manager/Care Coordinator in Dayton, Ohio. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1628 Springfield St
Dayton, OH 45403-1430
Phone: (937) 802-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1265167761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address1628 Springfield St, Dayton, OH 45403-1430

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