Active NPI
Barbourville Family Dental Inc
- General Practice Dentistry
- Barbourville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7386
- Legal business name
- BARBOURVILLE FAMILY DENTAL INC
- Practice address
- 201 N Allison Ave
Barbourville, KY 40906-1336 - Phone
- (606) 545-7715
- Fax
- (606) 546-2337
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. A J Smith Jr., DMD
- Title
- Dentist
- Phone
- (606) 545-7715
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7386 | KY | Primary |
Addresses
Primary practice location
201 N Allison Ave
Barbourville, KY 40906-1336
Mailing address
201 N Allison Ave
Barbourville, KY 40906-1336
Phone (606) 545-7715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60000924 | Medicaid | KY | |
| 1341350 | Other | KY | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
201 N Allison Ave
Barbourville, KY 40906
Phone (606) 545-7715
101 Town and Country Ln
Hazard, KY 41701
Phone (606) 435-0460
130 Thompson Poynter Rd
London, KY 40741
Phone (606) 877-8700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003961905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N ALLISON AVE",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061336",
"telephone_number": "606-545-7715",
"fax_number": "606-546-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N ALLISON AVE",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061336",
"telephone_number": "606-545-7715",
"fax_number": "606-546-2337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBOURVILLE FAMILY DENTAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "A",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "606-545-7715",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60000924",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1341350",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.