Organization Active NPI

Big Smiles Kentucky PSC

  • Dentist
  • Lexington, KY
National Provider Identifier
1104152578
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BIG SMILES KENTUCKY PSC
Practice address
424 Lewis Hargett Cir Ste 250
Lexington, KY 40503-3687
Phone
(888) 833-8441
Fax
(888) 373-9612
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Elliot Schlang
Title
Owner
Phone
(877) 227-9892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

424 Lewis Hargett Cir Ste 250
Lexington, KY 40503-3687

Mailing address

2550 W Union Hills Dr
Suite 202
Phoenix, AZ 85027-5163
Phone (877) 227-9892

National Provider Directory

National Provider Directory

Locations

424 Lewis Hargett Cir
Ste 250
Lexington, KY 40503
Phone (859) 212-9489

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": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1104152578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR",
            "address_2": "SUITE 202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275163",
            "telephone_number": "877-227-9892",
            "fax_number": "623-321-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LEWIS HARGETT CIR STE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033687",
            "telephone_number": "888-833-8441",
            "fax_number": "888-373-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SMILES KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "SCHLANG",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-227-9892"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2025; 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.