Individual provider Active NPI

Kathleen Baum Donley, DDS

  • Dentist
  • Alvaton, KY
National Provider Identifier
1013358373
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7091 Issued in KY
Practice address
395 Stone Bluff LN
Alvaton, KY 42122-9721
Phone
(270) 746-9110
NPI assigned
Jul 15, 2013
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7091 KY Primary

Addresses

Primary practice location

395 Stone Bluff LN
Alvaton, KY 42122-9721

Mailing address

395 Stone Bluff LN
Alvaton, KY 42122-9721
Phone (270) 746-9110

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205001122 KY Order and Referring Only - DentistPractitioner - Dentist 1153618533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7091KYMDDentist

Networks

  • KY PPO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1013358373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 STONE BLUFF LN",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421229721",
            "telephone_number": "270-746-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 STONE BLUFF LN",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421229721",
            "telephone_number": "270-746-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLEY",
        "first_name": "KATHLEEN",
        "middle_name": "BAUM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvaton, KY

Sources for this page

Verify at the official NPI Registry.