Active NPI
Travis Carby Aduddell, DDS
- Dentist
- Dallas, TX
National Provider Identifier
1194394627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37277
- Practice address
- 10670 N Central Expy Ste 160
Dallas, TX 75231-1074 - Phone
- (214) 553-8499
- NPI assigned
- Jun 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37277 | TX | Primary |
Addresses
Primary practice location
10670 N Central Expy Ste 160
Dallas, TX 75231-1074
Mailing address
1321 Palm Canyon Dr
Dallas, TX 75204-5517
Phone (281) 703-0361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37277 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis Aduddell, DDS PLLC | Dentist | Current | Accepting new patients |
Locations
10670 N Central Expy
Ste 160
Dallas, TX 75231
Phone (214) 553-8499
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Dallas, TX
- NPI 1639985948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1194394627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 PALM CANYON DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752045517",
"telephone_number": "281-703-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10670 N CENTRAL EXPY STE 160",
"city": "DALLAS",
"state": "TX",
"postal_code": "752311074",
"telephone_number": "214-553-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADUDDELL",
"first_name": "TRAVIS",
"middle_name": "CARBY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-19",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.