Organization Active NPI

Green Apple Dentistry PLLC

  • Dental Clinic/Center
  • Wellesley, MA
National Provider Identifier
1235772831
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREEN APPLE DENTISTRY PLLC
Practice address
332 Washington Street
Mezzanine
Wellesley, MA 02481
Phone
(405) 826-2392
NPI assigned
Oct 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Dr. Terrance Shutts, DDS
Title
Owner
Phone
(405) 826-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

332 Washington Street
Mezzanine
Wellesley, MA 02481

Mailing address

332 Washington St
Mezzanine Level
Wellesley, MA 02481-1431
Phone (781) 222-4738

National Provider Directory

National Provider Directory

Locations

33 Lyman St
Ste 203
Westborough, MA 01581

NPI Registry JSON

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1235772831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "MEZZANINE LEVEL",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811431",
            "telephone_number": "781-222-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON STREET",
            "address_2": "MEZZANINE",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "405-826-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN APPLE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "SHUTTS",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-826-2392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.