Pendergrass Wilkie Dentistry Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19725 Issued in TX

Legal business name

PENDERGRASS WILKIE DENTISTRY PARTNERSHIP

Practice address

6020 Belpree Road
Suite C
Amarillo, TX 79106-3333

Phone

(806) 358-8802

Fax

(806) 358-8894

NPI assigned

Oct 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Lee Pendergrass, DDS PANPI 1649449786

Title

Co Owner

Phone

(806) 358-8801

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Tyler Lee Pendergrass, D.D.S.

  • Dentist
  • Amarillo, TX
  • NPI 1649449786
  NPD (past) Authorized official
• Eric Wilkie, D.D.S.

  • Dentist
  • Amarillo, TX
  • NPI 1265601306
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598846180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 BELPREE ROAD",
            "address_2": "SUITE C",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791063333",
            "telephone_number": "806-358-8801",
            "fax_number": "806-358-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 BELPREE ROAD",
            "address_2": "SUITE C",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791063333",
            "telephone_number": "806-358-8802",
            "fax_number": "806-358-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDERGRASS WILKIE DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENDERGRASS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "806-358-8801",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19725",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C Pearson, D.P.M.
• Pedro R. Hernandez M.D. P.a.
• Wendy Ann Peeples, LPC
• Jereamiah Pemberton
• Katie Louise Pemberton, FNP-C
• Tyler Lee Pendergrass, D.D.S.
• Joshua Chandler Penniman, MD
• Amandeep K Pentlia, DDS
• Anastacia Peralez
• Jenny Perdue, MSN, APRN, FNP-BC

• General Practice Dentistry in Amarillo, TX
• Providers in Amarillo, TX by specialty
• General Practice Dentistry in Texas

• 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.