Stephen Tackett, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9023 Issued in KY

Practice address

727 W Cumberland Gap Pkwy Ste D
Corbin, KY 40701

Phone

(606) 523-2000

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• S. Adam Tackett, DMD, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corbin, KY
  • NPI 1548725765
  NPD Authorized official
• A. Brent Chumbley, PSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corbin, KY
  • NPI 1649543034
  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1104112556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W CUMBERLAND GAP PKWY STE D",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015194",
            "telephone_number": "606-523-2000",
            "fax_number": "606-523-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W CUMBERLAND GAP PKWY STE D",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-523-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Kentucky & Affiliates 800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-257-3462",
            "fax_number": "859-323-2036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9023",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "9023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Swafford, M.A.,CCC/SLP
• Jensen Sweet, RN,BSN
• Jeremy Swiney, MD
• Megan Jade Tackett, OTR/L
• Roberta Tackett, APRN, RN
• Sheila H Talley, LMFT
• Jessica Nicole Tanner, PHARMD
• Larry Tate, LDO
• Taylor and Clifton Family Healthcare
• Courtney L Taylor, RN, BSN

• Orthodontics and Dentofacial Orthopedics Dentistry in Corbin, KY
• Providers in Corbin, KY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.