Organization Active NPI

Apex Dental PC

  • General Practice Dentistry
  • Nacogdoches, TX
National Provider Identifier
1154607992
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24348 Issued in TX
Legal business name
APEX DENTAL PC
Practice address
4610 North St
Ste 101
Nacogdoches, TX 75965-1813
Phone
(617) 281-7947
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Gunjan Dhir, BDS, MS
Title
Director
Phone
(617) 281-7947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24348 TX Primary

Addresses

Primary practice location

4610 North St
Ste 101
Nacogdoches, TX 75965-1813

Mailing address

8337 Summer Park Dr
Fort Worth, TX 76123-1991
Phone (617) 281-7947

National Provider Directory

National Provider Directory

Locations

4610 North St
Ste 101
Nacogdoches, TX 75965
Phone (936) 560-0900

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1154607992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 SUMMER PARK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231991",
            "telephone_number": "617-281-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 NORTH ST",
            "address_2": "STE 101",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651813",
            "telephone_number": "617-281-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "DHIR",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-281-7947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.