Individual provider Active NPI

Niesje Hunter, DMD

  • Dentist
  • Fort Thomas, KY
National Provider Identifier
1033281118
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7282 Issued in KY
Practice address
20 N Grand Ave Ste 10
Fort Thomas, KY 41075-1755
Phone
(859) 441-1900
Fax
(859) 441-1900
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7282 KY Primary

Addresses

Primary practice location

20 N Grand Ave Ste 10
Fort Thomas, KY 41075-1755

Mailing address

20 N Grand Ave Ste 10
Fort Thomas, KY 41075-1755
Phone (859) 441-1900

Other names 1

  • Mrs. Niesje Hunter Lloyd Other name

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
I20150605002957 KY Order and Referring Only - DentistPractitioner - Dentist 0446571145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7282KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Oates DMD PLLC CurrentSince Jun 16, 2024 Accepting new patients
Ross Oates DMD PLLC Dentist CurrentSince Jun 23, 2024 Accepting new patients
Dental Center of Florence Kentucky Past Accepting new patients

Locations

20 N Grand Ave
Ste 10
Fort Thomas, KY 41075
Phone (859) 441-1900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1033281118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE STE 10",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751755",
            "telephone_number": "859-441-1900",
            "fax_number": "859-441-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE STE 10",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751755",
            "telephone_number": "859-441-1900",
            "fax_number": "859-441-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "NIESJE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIESJE",
            "last_name": "LLOYD",
            "middle_name": "HUNTER",
            "prefix": "MRS.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Thomas, KY

Sources for this page

Verify at the official NPI Registry.