Individual provider Active NPI

Hilary Elizabeth Halverstadt, D.M.D.

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1063936631
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9998 Issued in KY
Practice address
496 Southland Dr
Lexington, KY 40503-1827
Phone
(859) 288-2425
Fax
(859) 288-7510
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9998 KY Primary

Addresses

Primary practice location

496 Southland Dr
Lexington, KY 40503-1827

Mailing address

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2392

Other practice location 1

7901 Mall Rd
Suite #500
Florence, KY 41042
Phone (859) 647-7600

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
I20220610001974 KY Practitioner - Dentist 8426436932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9998KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Bluegrass Inc. CurrentSince Jun 6, 2022 Accepting new patients
Healthfirst Bluegrass Inc CurrentSince Jun 6, 2022 Accepting new patients

Locations

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

1060 Goodwin Dr
#110
Lexington, KY 40505

555 E Fifth St
Lexington, KY 40508
Phone (859) 252-2371

122 Arceme Ave
Lexington, KY 40505

161 Bruce St
Lexington, KY 40507
Phone (859) 381-3418

1113 Centre Pkwy
Lexington, KY 40517
Phone (859) 381-3606

551 Parkside Dr
Lexington, KY 40505
Phone (859) 381-3512

2101 Saint Mathilda Dr
Lexington, KY 40502
Phone (859) 381-3273

576 E Third St
Ste 170
Lexington, KY 40508
Phone (859) 288-2478

650 Newtown Pike
Lexington, KY 40508
Phone (859) 252-2371

218 Mandalay Rd
Lexington, KY 40504
Phone (859) 381-3340

707 Howard St
Lexington, KY 40508
Phone (859) 381-3263

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1063936631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2392",
            "fax_number": "859-288-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Mall Rd",
            "address_2": "Suite #500",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "41042",
            "country_code": "US",
            "telephone_number": "859-647-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALVERSTADT",
        "first_name": "HILARY",
        "middle_name": "ELIZABETH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.