Individual provider Active NPI

William Thurman Renshaw, DMD

  • Dentist
  • Frankfort, KY
National Provider Identifier
1043434137
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6997 Issued in KY
Practice address
111 Burch CT
Frankfort, KY 40601-8353
Phone
(502) 223-1671
Fax
(502) 875-4334
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6997 KY Primary

Addresses

Primary practice location

111 Burch CT
Frankfort, KY 40601-8353

Mailing address

111 Burch CT
Frankfort, KY 40601-8353
Phone (502) 223-1671

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
I20151207001203 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163722653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6997KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Burch, Renshaw, Wix & Associates PSC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1043434137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BURCH CT",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406018353",
            "telephone_number": "502-223-1671",
            "fax_number": "502-875-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BURCH CT",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406018353",
            "telephone_number": "502-223-1671",
            "fax_number": "502-875-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSHAW",
        "first_name": "WILLIAM",
        "middle_name": "THURMAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.