Individual provider Active NPI

Constance C. Huff, D.M.D

  • General Practice Dentistry
  • Harrodsburg, KY
National Provider Identifier
1063582419
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5900 Issued in KY
Practice address
135 Collin Dr
Harrodsburg, KY 40330-1168
Phone
(859) 734-4944
Fax
(859) 734-0476
NPI assigned
Nov 9, 2006
Last updated
Mar 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5900 KY
General Practice Dentistry 1223G0001X 5900 KY Primary

Addresses

Primary practice location

135 Collin Dr
Harrodsburg, KY 40330-1168

Mailing address

135 Collin Dr
Harrodsburg, KY 40330-1168
Phone (859) 734-4944

Other identifiers 1

IdentifierTypeStateIssuer
60059003MedicaidKY

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
I20150414002652 KY Order and Referring Only - DentistPractitioner - Dentist 7810213212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5900KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Huffs Mercer Dental Care General Practice Past Accepting new patients
Huffs Mercer Dental Care Dentist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1063582419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COLLIN DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301168",
            "telephone_number": "859-734-4944",
            "fax_number": "859-734-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLLIN DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301168",
            "telephone_number": "859-734-4944",
            "fax_number": "859-734-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "CONSTANCE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60059003",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.