Individual provider Active NPI

Suzanne Appolito, DDS

  • Dentist
  • Mesquite, TX
National Provider Identifier
1679679492
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19836 Issued in TX
Practice address
3600 Gus Thomasson Rd Ste 127
Mesquite, TX 75150-6700
Phone
(214) 275-4720
Fax
(214) 275-6816
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19836TXMDProfessional Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19836 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

3600 Gus Thomasson Rd Ste 127
Mesquite, TX 75150-6700

Mailing address

3600 Gus Thomasson Rd Ste 127
Mesquite, TX 75150-6700
Phone (214) 275-4720

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679679492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GUS THOMASSON RD STE 127",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506700",
            "telephone_number": "214-275-4720",
            "fax_number": "214-275-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GUS THOMASSON RD STE 127",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506700",
            "telephone_number": "214-275-4720",
            "fax_number": "214-275-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPOLITO",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.