Organization Active NPI

Ap Professional PLLC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1669807780
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AP PROFESSIONAL PLLC
Practice address
2304 Midway Rd
Ste C
Plano, TX 75093-1611
Phone
(972) 473-8880
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Jared Bruggeman, DDS
Title
Dentist/Owner
Phone
(817) 912-2982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2304 Midway Rd
Ste C
Plano, TX 75093-1611

Mailing address

1127 S Main St
Grapevine, TX 76051-7533
Phone (817) 380-5936

Other names 1

  • dba: Aesthetic Plus Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1669807780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517533",
            "telephone_number": "817-380-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 MIDWAY RD",
            "address_2": "STE C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931611",
            "telephone_number": "972-473-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AP PROFESSIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "BRUGGEMAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "817-912-2982",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba: Aesthetic Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 9, 2013; 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.