Individual provider Active NPI

Andrew Gordon Couch, D.M.D.

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1114211042
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9020 Issued in KY
Practice address
1081 Dove Run Rd Ste 101
Lexington, KY 40502-3590
Phone
(859) 266-8890
Fax
(859) 335-0522
NPI assigned
Jun 8, 2011
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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 9020 KY Primary

Addresses

Primary practice location

1081 Dove Run Rd Ste 101
Lexington, KY 40502-3590

Mailing address

1081 Dove Run Rd Ste 101
Lexington, KY 40502-3590
Phone (859) 266-8890

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9020KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1114211042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 DOVE RUN RD STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023590",
            "telephone_number": "859-266-8890",
            "fax_number": "859-335-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 DOVE RUN RD STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023590",
            "telephone_number": "859-266-8890",
            "fax_number": "859-335-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "ANDREW",
        "middle_name": "GORDON",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9020",
            "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 Mar 22, 2016; 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.