Feleshia L Apps

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

CA55054 Issued in CA

Practice address

2600 S Tracy Blvd
#160
Tracy, CA 95376-9103

Phone

(510) 910-1041

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1679607790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PUERTO PL",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945417300",
            "telephone_number": "510-910-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S TRACY BLVD",
            "address_2": "#160",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953769103",
            "telephone_number": "510-910-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPS",
        "first_name": "FELESHIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55054",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "CA55054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joycelyn Antonio, 164X00000X
• Anukaran Samra DDS Inc
• Shannon P Apodaca
• Dale Marie Applewhite
• Applied Chiropractic Solotions
• Krystal Lynn Aquinde
• Guillermo Aragon
• Alyssa Arce
• Lluvia D Arevalo
• Emanuel Nathaniel Arevalos

• Pediatric Dentistry in Tracy, CA
• Providers in Tracy, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.