Organization Active NPI

Jacqueline M. Plemons, DDS, Ms

  • Periodontics
  • Dallas, TX
National Provider Identifier
1417158809
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
JACQUELINE M. PLEMONS, DDS, MS
Practice address
6031 Sherry LN
Dallas, TX 75225-6402
Phone
(214) 369-8585
Fax
(214) 696-9477
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Jacqueline Plemons, DDS, MSNPI 1679862585
Title
Owner
Phone
(214) 369-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

6031 Sherry LN
Dallas, TX 75225-6402

Mailing address

6031 Sherry LN
Dallas, TX 75225-6402
Phone (214) 369-8585

National Provider Directory

National Provider Directory

Locations

6031 Sherry Ln
Dallas, TX 75225
Phone (214) 369-8585

Practitioners & affiliated clinicians

Practitioners 2

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1417158809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256402",
            "telephone_number": "214-369-8585",
            "fax_number": "214-696-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256402",
            "telephone_number": "214-369-8585",
            "fax_number": "214-696-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE M. PLEMONS, DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "PLEMONS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-369-8585",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.