Organization Active NPI

Red Apple Pediatric Dental Team

  • Pediatric Dentistry
  • Stafford, VA
National Provider Identifier
1215560370
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RED APPLE PEDIATRIC DENTAL TEAM
Practice address
1003 Garrisonville Rd
Stafford, VA 22556-1843
Phone
(540) 318-5577
Fax
(540) 369-6250
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Skylar Ashby
Title
Front Desk
Phone
(540) 318-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1003 Garrisonville Rd
Stafford, VA 22556-1843

Mailing address

1003 Garrisonville Rd
Stafford, VA 22556-1843
Phone (540) 318-5577

National Provider Directory

National Provider Directory

Locations

1003 Garrisonville Rd
Stafford, VA 22556
Phone (540) 318-5577

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1215560370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561843",
            "telephone_number": "540-318-5577",
            "fax_number": "540-369-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561843",
            "telephone_number": "540-318-5577",
            "fax_number": "540-369-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED APPLE PEDIATRIC DENTAL TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "540-318-5577"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.