Organization Active NPI

Apple Dental Affiliates, PA

  • Dentist
  • St Petersburg, FL
National Provider Identifier
1114902491
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
APPLE DENTAL AFFILIATES, PA
Practice address
125 5TH St S
St Petersburg, FL 33701-4168
Phone
(727) 896-3368
Fax
(727) 896-3368
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. Phillip B. Apple, DDS
Title
Cdo/Dentist
Phone
(727) 896-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

125 5TH St S
St Petersburg, FL 33701-4168

Mailing address

125 5TH St S
St Petersburg, FL 33701-4168
Phone (727) 896-3368

Other names 1

  • Apple Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apple Dental Affiliates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 5th St S
St Petersburg, FL 33701
Phone (727) 896-3368

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": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1114902491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 5TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014168",
            "telephone_number": "727-896-3368",
            "fax_number": "727-896-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 5TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014168",
            "telephone_number": "727-896-3368",
            "fax_number": "727-896-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE DENTAL AFFILIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "APPLE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CDO/DENTIST",
        "authorized_official_telephone_number": "727-896-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.