Individual provider Active NPI

Jessica Grace Bryant, DMD

  • Dentist
  • Maysville, KY
National Provider Identifier
1104448190
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10982 Issued in KY
Practice address
507 Marketplace Dr
Maysville, KY 41056-7511
Phone
(606) 564-4371
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2864HIMDDentist
10982KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Dental PLLC CurrentSince Jul 16, 2023 Accepting new patients

Locations

507 Marketplace Dr
Maysville, KY 41056
Phone (606) 564-4371

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2864 HI
Dentist 122300000X 10982 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

507 Marketplace Dr
Maysville, KY 41056-7511

Mailing address

354 Brierly Ridge Rd
Mount Olivet, KY 41064-9441
Phone (606) 842-0507

Other names 1

NPPES NPI Registry
  • Jessica Grace Gasser Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2025.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1104448190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BRIERLY RIDGE RD",
            "city": "MOUNT OLIVET",
            "state": "KY",
            "postal_code": "410649441",
            "telephone_number": "606-842-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MARKETPLACE DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410567511",
            "telephone_number": "606-564-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JESSICA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "2864",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GASSER",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.