Organization Active NPI

Apple Mobile Dental Management

  • Dental Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1548829138
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
APPLE MOBILE DENTAL MANAGEMENT
Practice address
2054 Alta Meadows LN Apt 2402
Delray Beach, FL 33444-1185
Phone
(217) 840-8177
NPI assigned
Jun 7, 2019
Last updated
Jun 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Lacy Suzanne Russell
Title
Owner
Phone
(217) 840-8177

Specialties & licenses 1

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

Addresses

Primary practice location

2054 Alta Meadows LN Apt 2402
Delray Beach, FL 33444-1185

Mailing address

2054 Alta Meadows LN Apt 2402
Delray Beach, FL 33444-1185
Phone (217) 840-8177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1548829138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 ALTA MEADOWS LN APT 2402",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441185",
            "telephone_number": "217-840-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 ALTA MEADOWS LN APT 2402",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441185",
            "telephone_number": "217-840-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE MOBILE DENTAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-840-8177"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.