Active NPI
Erica Irvin Higginbotham, D.M.D.
- General Practice Dentistry
- Lexington, KY
National Provider Identifier
1013076249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7969
- Practice address
- 3285 Blazer Pkwy
Ste 200
Lexington, KY 40509-2119 - Phone
- (859) 543-0700
- Fax
- (859) 543-1078
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7969 | KY | Primary |
Addresses
Primary practice location
3285 Blazer Pkwy
Ste 200
Lexington, KY 40509-2119
Mailing address
3285 Blazer Pkwy
Ste 200
Lexington, KY 40509-2119
Phone (859) 543-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160503001641 | KY | Order and Referring Only - Other (Physician) | 5597064162 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7969 | KY | MD | General Practice Dentistry |
Networks
- TN PPO C-SNP
- KY PPO C-SNP
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013076249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 BLAZER PKWY",
"address_2": "STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092119",
"telephone_number": "859-543-0700",
"fax_number": "859-543-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 BLAZER PKWY",
"address_2": "STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092119",
"telephone_number": "859-543-0700",
"fax_number": "859-543-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINBOTHAM",
"first_name": "ERICA",
"middle_name": "IRVIN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Laura Lynne Hieronymus, DNP, RN, MLDE
- David Michael Hiestand, MD
- Andrew Higdon, M.D.
- Gary L Higgason, MD
- Brooklyn Danielle Higginbotham, APRN, CPNP-PC
- Patrick Neil Higginbotham, PHARMD
- Melanie Higgins- Day, HAIR LOSS SPECIALIST
- Bethany Fourtney Higgins, MSW, LCSW
- Eric Benjamin Higgins, M.D.
- Janice Higgins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.