Kla Dr PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KLA DR PLLC

Doing business as

Dental Resort

Practice address

2100 Dallas Pkwy Ste 120
Plano, TX 75093-4394

Phone

(972) 824-1752

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Aduddell, DDSNPI 1437596756

Title

Owner, President

Phone

(972) 824-1752

Specialties & licenses 1

Addresses

Other names 1

• Dental Resort Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Aduddell, DDS

  • General Practice Dentistry
  • Plano, TX
  • NPI 1437596756
  NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1972103240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 GRASSMERE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802910",
            "telephone_number": "972-824-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DALLAS PKWY STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934394",
            "telephone_number": "972-824-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLA DR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "ADUDDELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "972-824-1752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kevin@aduddelldentistry.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Address",
            "address_1": "2100 Dallas Pkwy Ste 120",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750934394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Resort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmy Kirui-Modi, NP-C
• Mary Ellen Kirwan, D.C.
• Derek Kiser, PA-C
• Judy Kistler-Robinson
• Carolyn Kit
• Robert F Klaiber, L.M.T.
• Hali Kleiman
• Jordan Klein
• Kimberly Ann Klein, BCFNP
• Mordecai N Klein, MD

• Dentist in Plano, TX
• Providers in Plano, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.