Organization Active NPI

Apple Dental, L.L.C.

  • Dentist
  • Monroe, LA
National Provider Identifier
1447307145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
APPLE DENTAL, L.L.C.
Practice address
3301 Sterlington Rd
Hwy 165 North
Monroe, LA 71203-2521
Phone
(318) 325-3254
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin P Haynes, DDSNPI 1205043460
Title
Owner
Phone
(318) 325-3254

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3301 Sterlington Rd
Hwy 165 North
Monroe, LA 71203-2521

Mailing address

3301 Sterlington Rd
Hwy 165 North
Monroe, LA 71203-2521
Phone (318) 325-3254

National Provider Directory

National Provider Directory

Locations

3301 Sterlington Rd
Monroe, LA 71203
Phone (318) 325-3254

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447307145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 STERLINGTON RD",
            "address_2": "HWY 165 NORTH",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032521",
            "telephone_number": "318-325-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 STERLINGTON RD",
            "address_2": "HWY 165 NORTH",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032521",
            "telephone_number": "318-325-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE DENTAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-325-3254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.