Organization Active NPI

Affordable Dentures & Implants - Texas IV, PLLC

Doing business as Affordable Dentures & Implants- Amarillo

  • General Practice Dentistry
  • Amarillo, TX
National Provider Identifier
1225727092
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - TEXAS IV, PLLC
Doing business as
Affordable Dentures & Implants- Amarillo
Practice address
2207 S Western St Ste 40
Amarillo, TX 79109-1542
Phone
(806) 352-4500
NPI assigned
May 5, 2023
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Thomas Kennedy, DDS
Title
Owner
Phone
(806) 352-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2207 S Western St Ste 40
Amarillo, TX 79109-1542

Mailing address

2207 S Western St Ste 40
Amarillo, TX 79109-1542
Phone (806) 352-4500

Other names 1

  • Affordable Dentures & Implants- Amarillo Doing business as

National Provider Directory

National Provider Directory

Locations

2207 S Western St
Ste 40
Amarillo, TX 79109
Phone (806) 352-4500

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1225727092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 S WESTERN ST STE 40",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091542",
            "telephone_number": "806-352-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 S WESTERN ST STE 40",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091542",
            "telephone_number": "806-352-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - TEXAS IV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-352-4500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants- Amarillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.