Individual provider Active NPI

Annalynn Imperial Pappas, D.D.S

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1801022082
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24600 Issued in TX
Practice address
6841 Coit Rd
Plano, TX 75024-5489
Phone
(972) 618-5000
Fax
(972) 618-9369
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24600 TX Primary

Addresses

Primary practice location

6841 Coit Rd
Plano, TX 75024-5489

Mailing address

6841 Coit Rd
Plano, TX 75024-5489
Phone (972) 618-5000

Other names 1

  • Dr. Annalynn Dalay Imperial Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150617001587 TX Order and Referring Only - DentistPractitioner - Dentist 2668783655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TX Southern Dental PPO PC General Practice PastSince Oct 25, 2020 Accepting new patients
Steven P Thompson DDS PA General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1801022082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245489",
            "telephone_number": "972-618-5000",
            "fax_number": "972-618-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245489",
            "telephone_number": "972-618-5000",
            "fax_number": "972-618-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "ANNALYNN",
        "middle_name": "IMPERIAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNALYNN",
            "last_name": "IMPERIAL",
            "middle_name": "DALAY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.