Organization Active NPI

Wendy K. Humphrey, DMD, PLLC

Doing business as Kentucky Dentistry for Kids

  • Pediatric Dentistry
  • Lexington, KY
National Provider Identifier
1073883955
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7980 Issued in KY
Legal business name
WENDY K. HUMPHREY, DMD, PLLC
Doing business as
Kentucky Dentistry for Kids
Practice address
181 W Lowry LN
Suite 110
Lexington, KY 40503-3016
Phone
(859) 277-5437
Fax
(859) 277-8827
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Wendy Humphrey Van Meter, DMDNPI 1487780458
Title
Dentist/Owner
Phone
(859) 277-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 7980 KY Primary

Addresses

Primary practice location

181 W Lowry LN
Suite 110
Lexington, KY 40503-3016

Mailing address

181 W Lowry LN
Suite 110
Lexington, KY 40503-3016
Phone (859) 277-5437

Other identifiers 1

IdentifierTypeStateIssuer
60002839MedicaidKY

Other names 1

  • Kentucky Dentistry for Kids Doing business as

National Provider Directory

National Provider Directory

Locations

181 W Lowry Ln
#110
Lexington, KY 40503
Phone (859) 277-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1073883955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W LOWRY LN",
            "address_2": "SUITE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033016",
            "telephone_number": "859-277-5437",
            "fax_number": "859-277-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W LOWRY LN",
            "address_2": "SUITE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033016",
            "telephone_number": "859-277-5437",
            "fax_number": "859-277-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY K. HUMPHREY, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "HUMPHREY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "859-277-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "7980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002839",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Dentistry for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.