Applewhite Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

18732 Issued in TX

Legal business name

APPLEWHITE DENTAL PLLC

Practice address

4927 Lake Ridge Pkwy
Suite 140
Grand Prairie, TX 75052-3087

Phone

(817) 913-3537

NPI assigned

Jul 21, 2015

Organization subpart

No

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

Authorized official

Name

Derrick Taylor

Title

Office Manager/Co-Owner

Phone

(817) 913-3537

Specialties & licenses 1

Addresses

Other names 1

• Koala Center for Sleep Disorders TX-1 Doing business as

Locations

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1205211174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY",
            "address_2": "SUITE 140",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY",
            "address_2": "SUITE 140",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523087",
            "telephone_number": "817-913-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEWHITE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OFFICE MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "817-913-3537"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koala Center for Sleep Disorders TX-1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Anwah, DDS
• Ap Injury & Wellness, PLLC
• Apex Behavioral Health LLC
• Apex Plus Home Healthcare Agency
• Apple Renal Care LLC
• Ramona Applewhite Taylor, D.D.S.
• Apt24 Caregivers LLC
• Nancy Apunda
• Queen Arasah, FNP
• Stephanie S Arceneaux, LPC

• Dentist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.