Active NPI
Diabetes Care Center of Kentucky
- Family Medicine Physician
- Lexington, KY
National Provider Identifier
1023195666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DIABETES CARE CENTER OF KENTUCKY
- Practice address
- 135 E Maxwell St
Suite 200
Lexington, KY 40508-2678 - Phone
- (859) 422-4343
- Fax
- (859) 422-4361
- NPI assigned
- Nov 1, 2006
- 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
- Ann S Giles
- Title
- Administrator Owner
- Phone
- (859) 422-4343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | KY | Primary |
Addresses
Primary practice location
135 E Maxwell St
Suite 200
Lexington, KY 40508-2678
Mailing address
PO Box 23823
Lexington, KY 40523-3823
Phone (859) 422-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65941627 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023195666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23823",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405233823",
"telephone_number": "859-422-4343",
"fax_number": "859-422-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E MAXWELL ST",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082678",
"telephone_number": "859-422-4343",
"fax_number": "859-422-4361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETES CARE CENTER OF KENTUCKY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GILES",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR OWNER",
"authorized_official_telephone_number": "859-422-4343"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65941627",
"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 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.