Individual provider Active NPI

Stephen Orr, DMD

  • General Practice Dentistry
  • Murray, KY
National Provider Identifier
1104563402
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10761 Issued in KY
Practice address
1710 Highway 121 Byp N Ste B
Murray, KY 42071-8912
Phone
(270) 753-1000
NPI assigned
May 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 10761 KY Primary

Addresses

Primary practice location

1710 Highway 121 Byp N Ste B
Murray, KY 42071-8912

Mailing address

1710 Highway 121 Byp N Ste B
Murray, KY 42071-8912
Phone (270) 753-1000

Other practice location 1

315 S 6th St
Mayfield, KY 42066-2309
Phone (270) 247-2552

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
10761KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Family Dentistry Past Accepting new patients
Elevation Dentistry PLLC General Practice PastSince Apr 21, 2024 Accepting new patients

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1104563402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 121 BYP N STE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718912",
            "telephone_number": "270-753-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 121 BYP N STE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718912",
            "telephone_number": "270-753-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420662309",
            "country_code": "US",
            "telephone_number": "270-247-2552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.