Organization Active NPI

Aduddell Dentistry PLLC

  • Dentist
  • Plano, TX
National Provider Identifier
1659803112
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D28976 Issued in TX
Legal business name
ADUDDELL DENTISTRY PLLC
Practice address
1300 Medical Ave Ste 101
Plano, TX 75075-7798
Phone
(972) 985-4765
NPI assigned
Apr 3, 2017
Last updated
Apr 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Dr. Kevin Aduddell
Title
Manager
Phone
(972) 985-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D28976 TX Primary

Addresses

Primary practice location

1300 Medical Ave Ste 101
Plano, TX 75075-7798

Mailing address

1300 Medical Ave Ste 101
Plano, TX 75075-7798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1659803112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MEDICAL AVE STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MEDICAL AVE STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757798",
            "telephone_number": "972-985-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADUDDELL DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "ADUDDELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-985-4765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "D28976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.