The Dentist Office PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THE DENTIST OFFICE PSC

Practice address

1144 S Mayo Trail
Suite 101
Pikeville, KY 41501

Phone

(606) 433-0033

Fax

(606) 433-0990

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chonda Harris Whitfield, DMDNPI 1467515098

Title

President

Phone

(606) 433-0033

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chonda Harris Whitfield, DMD

  • Dentist
  • Pikeville, KY
  • NPI 1467515098
  NPD (past) Authorized official
• Ben Adrian Whitfield, DMD

  • Dentist
  • Pikeville, KY
  • NPI 1629144639
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114085982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 S MAYO TRAIL",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-433-0033",
            "fax_number": "606-433-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 S MAYO TRAIL",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-433-0033",
            "fax_number": "606-433-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTIST OFFICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "CHONDA",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-433-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900312",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Thacker, CADC
• Shelby Thacker
• Sydney Mary Thacker, RBT
• Wesley Thacker
• Thad R Manning D.O., PSC
• Therapeutic Counseling Services PLLC
• Thomas a. Donohue, MD, PLLC
• Thomas Drug
• Machea Thomas, R.N.
• Danita Thompson, PA-C

• Dentist in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.