NPIMap

Organization Active NPI

Bardstown on Call Dental

  • General Practice Dentistry
  • Bardstown, KY
National Provider Identifier
1013443894
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BARDSTOWN ON CALL DENTAL
Practice address
621 N 3Rd St
Bardstown, KY 40004-1750
Phone
(502) 349-3289
Fax
(502) 348-7260
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Jay Ryan Claywell, DMDNPI 1639305345
Title
Dentist
Phone
(502) 349-3289

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)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

621 N 3Rd St
Bardstown, KY 40004-1750

Mailing address

621 N 3Rd St
Bardstown, KY 40004-1750
Phone (502) 349-3289

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1013443894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N 3RD ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041750",
            "telephone_number": "502-349-3289",
            "fax_number": "502-348-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N 3RD ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041750",
            "telephone_number": "502-349-3289",
            "fax_number": "502-348-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDSTOWN ON CALL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "CLAYWELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "502-349-3289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.