Organization Active NPI

Brownwood TX Dental PLLC

  • Dental Clinic/Center
  • Brownwood, TX
National Provider Identifier
1104581412
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BROWNWOOD TX DENTAL PLLC
Practice address
1001 Avenue K
Brownwood, TX 76801-4531
Phone
(325) 643-2551
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kamalpreet Shallu, DMD
Title
Owner
Phone
(325) 643-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1001 Avenue K
Brownwood, TX 76801-4531

Mailing address

13551 Spokane Way
Frisco, TX 75035-1334
Phone (347) 759-2152

Other names 1

  • APPLE DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Avenue K
Brownwood, TX 76801
Phone (325) 643-2551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1104581412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13551 SPOKANE WAY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351334",
            "telephone_number": "347-759-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENUE K",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768014531",
            "telephone_number": "325-643-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNWOOD TX DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "SHALLU",
        "authorized_official_first_name": "KAMALPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-643-2551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLE DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.