Organization Active NPI

Highfive Endodontics Kentucky, LLC

Doing business as Purchase Endodontics

  • Endodontics
  • Paducah, KY
National Provider Identifier
1063290369
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
HIGHFIVE ENDODONTICS KENTUCKY, LLC
Doing business as
Purchase Endodontics
Practice address
3429 Lone Oak Rd Ste 1
Paducah, KY 42003-5775
Phone
(270) 534-8881
Fax
(270) 534-0115
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Daniela K Shields, DMD, ENDODONTISTNPI 1528261922
Title
DMD/ Owner
Phone
(270) 534-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3429 Lone Oak Rd Ste 1
Paducah, KY 42003-5775

Mailing address

3429 Lone Oak Rd Ste 1
Paducah, KY 42003-5775
Phone (270) 534-8881

Other names 1

  • Purchase Endodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1063290369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 LONE OAK RD STE 1",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035775",
            "telephone_number": "270-534-8881",
            "fax_number": "270-534-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 LONE OAK RD STE 1",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035775",
            "telephone_number": "270-534-8881",
            "fax_number": "270-534-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHFIVE ENDODONTICS KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DMD/ OWNER",
        "authorized_official_telephone_number": "270-534-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, ENDODONTIST"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purchase Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.