Jacqueline M Plemons, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

15077 Issued in TX

Practice address

6031 Sherry LN
Dallas, TX 75225-6402

Phone

(214) 369-8585

NPI assigned

Mar 31, 2011

Last updated

Apr 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacqueline M. Plemons, DDS, Ms

  • Periodontics
  • Dallas, TX
  • NPI 1417158809
  NPD (past) Authorized official

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1679862585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256402",
            "telephone_number": "214-369-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256402",
            "telephone_number": "214-369-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEMONS",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "15077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pleasant Grove Family Medical Clinic, PA
• Jamela Pleasant, PA-C
• Micha Renee Pleasant
• Patricia Pleasant
• Brooke Aliana Mensah Plecki, DMD
• Ralph Peter Plemons, MD
• Torrey Anne Pless
• Tanya Marie Pletin, PA-C
• Erica Marie Plimpton, DNP, FNP-BC
• Julia Allegra Plocica, MD

• Periodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.