Active NPI
Morgan Chase Dillow, D.M.D.
- Pediatric Dentistry
- Lexington, KY
National Provider Identifier
1013095421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8116
- Practice address
- 2517 Sir Barton Way
Suite 200
Lexington, KY 40509-2275 - Phone
- (859) 543-2456
- Fax
- (859) 543-2373
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8116 | KY | Primary |
| Dentist | 122300000X | 8116 | KY |
Addresses
Primary practice location
2517 Sir Barton Way
Suite 200
Lexington, KY 40509-2275
Mailing address
2517 Sir Barton Way
Suite 200
Lexington, KY 40509-2275
Phone (859) 543-2456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60004041 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8116 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1013095421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 SIR BARTON WAY",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092275",
"telephone_number": "859-543-2456",
"fax_number": "859-543-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 SIR BARTON WAY",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092275",
"telephone_number": "859-543-2456",
"fax_number": "859-543-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLOW",
"first_name": "MORGAN",
"middle_name": "CHASE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "8116",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8116",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60004041",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.