GREEN APPLE PEDIATRIC DENTISTRY, PLLC (NPI# 1972902427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972902427 |
| Entity Type | Organization |
| Organization Name | GREEN APPLE PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
11601 Us Hwy 290 West Suite 105 Austin TX 78737 |
| Mailing Address |
904 West Ave Suite 203 Austin TX 78701-2236 |
| Practice Telephone | 5129174550 |
| Mailing Telephone | 2102871535 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | DR. MARIA EVELINA GUERRERO (PEDIATRIC DENTIST/MANAGING MEMBER) |
| Authorized Official Telephone | 2102871535 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
24128 | TX | Dental Providers |
| Street Address |
11601 US HWY 290 WEST SUITE 105 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689864 | Chanelle Lynette Storey | Behavior Technician | Farm To Market Road 1826, Austin, TX 78737 | 2020-08-12 |
| 1699390062 | Victoria Ratliff | Behavior Technician | 8517 Fm Rd 1826, Austin, TX 78737 | 2020-06-11 |
| 1245718840 | Beatriz Ramirez | Licensed Vocational Nurse | 154 Pure Brook Way, Austin, TX 78737 | 2018-08-06 |
| 1538617378 | Andres Arismendi IIi | Dentist | 8517 Fm 1826, Building 1, Suite 500, Austin, TX 78737 | 2016-09-21 |
| 1386197689 | Ledgestone Management LLC | Assisted Living Facility | 13150 Four Star Blvd, Austin, TX 78737 | 2016-08-03 |
| 1558763284 | Capitol City Limo Austin | Transportation Broker | 1000 Gorman Springs, 12707 Fm 1826, Austin, TX 78737 | 2014-09-25 |
| 1083043574 | Kerri Lynn Salvatore | Speech-Language Pathologist | 260 Dorset Ln, Austin, TX 78737 | 2013-11-05 |
| 1730521113 | James William Green | Dermatology | 9108 Zyle Rd, Austin, TX 78737 | 2013-07-25 |
| 1457606642 | Aman Mohammed Odeh | Hospitalist | 7900 Farm To Market Rd 1826, Seton Southwest, Austin, TX 78737 | 2012-07-13 |
| 1386912988 | Jennifer Elizabeth Parks Williams | Social Worker | 15409 Fox Run Drive, Austin, TX 78737 | 2011-12-09 |
| Find all providers in zip 78737 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558832972 | Belterra Kids Teeth | Dentist | 165 Hargraves Dr Ste M100, Austin, TX 78737-4810 | 2018-12-11 |
| 1073051413 | Bash Braker LLC | Dentist | 1139 W Braker Ln, Ste 201, Austin, TX 78758 | 2017-02-06 |
| 1336519313 | Longhorn Pediatric Dentistry and Orthodontics | Dentist | 4638 W Gate Blvd, Austin, TX 78745-1461 | 2015-10-02 |
| 1659749810 | Specialty Dental Partners of Austin Pllc | Dentist | 4308 N Quinlan Park Rd Ste 201, Austin, TX 78732-6071 | 2015-09-04 |
| 1003202060 | Jared Poplin D.m.d., Pllc | Dentist | 6850 Austin Center Blvd Ste 220, Austin, TX 78731-3131 | 2015-04-07 |
| 1679964787 | Alexander Y Shau | Dentist | 13616 N Hwy 183 Unit A, Austin, TX 78750-2312 | 2015-02-10 |
| 1902216989 | Kyle Raymond Pa | Dentist | 5656 Bee Caves Rd Ste B104, Austin, TX 78746 | 2014-04-30 |
| 1447595855 | Rock That Smile Pediatric Dentistry Pllc | Dentist | 14005 N. Hwy 183, #800, Austin, TX 78717 | 2012-12-11 |
| 1215280557 | North Austin Pediatric Dental, Pllc | Dentist | 8716 Research Blvd # 125, Austin, TX 78758-6420 | 2012-10-24 |
| 1467718577 | Gregory C. Thiel, Dds, Pllc | Dentist | 3775 S. Capital of Texas Hwy., Suite 292, Austin, TX 78704-7908 | 2012-04-03 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.