Paloma Creek Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21096 Issued in TX

Legal business name

PALOMA CREEK DENTAL

Practice address

26735 US Hwy 380 E
Ste 105
Aubrey, TX 76227

Phone

(972) 347-1090

Fax

(972) 347-1021

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Neeva Chukkapalli, DMD

Title

President

Phone

(972) 347-1090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1881879831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26735 US HWY 380 E",
            "address_2": "STE 105",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "76227",
            "telephone_number": "972-347-1090",
            "fax_number": "972-347-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26735 US HWY 380 E",
            "address_2": "STE 105",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "76227",
            "telephone_number": "972-347-1090",
            "fax_number": "972-347-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMA CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "CHUKKAPALLI",
        "authorized_official_first_name": "NEEVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-347-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Aubrey, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.