1521 W University Rd PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

1521 W UNIVERSITY RD PLLC

Doing business as

Apollo Dental of McKinney

Practice address

1521 W University Dr Ste 120
McKinney, TX 75069-3207

Phone

(817) 904-5050

NPI assigned

Oct 3, 2022

Last updated

Jun 2, 2023By 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

Gunjan Dhir, DDS

Title

Owner

Phone

(817) 809-4860

Specialties & licenses 1

Addresses

Other names 1

• Apollo Dental of McKinney Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1801510748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E RANDOL MILL RD STE 520",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116380",
            "telephone_number": "817-809-4860",
            "fax_number": "682-626-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W UNIVERSITY DR STE 120",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693207",
            "telephone_number": "817-904-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1521 W UNIVERSITY RD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "DHIR",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-809-4860",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@altiusdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1521 W University Dr Ste 120",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750693207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Apollo Dental of McKinney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.