Active NPI
Green Apple Dentistry PLLC
- Dental Clinic/Center
- Wellesley, MA
National Provider Identifier
1235772831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.