Apple Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21843 Issued in MA

Legal business name

APPLE DENTAL ASSOCIATES, LLC

Practice address

651 Squire Rd
Revere, MA 02151-1866

Phone

(781) 289-5555

NPI assigned

Oct 20, 2009

Last updated

Dec 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Priya Trikha

Title

Dentist

Phone

(781) 289-5551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1760718126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 SQUIRE RD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 SQUIRE RD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511866",
            "telephone_number": "781-289-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "TRIKHA",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-289-5551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.