NPIMap

Organization Active NPI

Fayette Family Dentistry

  • Dentist
  • Lexington, KY
National Provider Identifier
1114226800
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8452 Issued in KY
Legal business name
FAYETTE FAMILY DENTISTRY
Practice address
80 Codell Dr
Ste 140
Lexington, KY 40509-1179
Phone
(859) 516-2081
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Dr. Molly Thurmond, D.M.D.NPI 1902021520
Title
President
Phone
(859) 516-2081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8452 KY Primary

Addresses

Primary practice location

80 Codell Dr
Ste 140
Lexington, KY 40509-1179

Mailing address

80 Codell Dr
Ste 140
Lexington, KY 40509-1179

National Provider Directory

National Provider Directory

Locations

80 Codell Dr
Ste 140
Lexington, KY 40509
Phone (859) 516-2081

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": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1114226800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CODELL DR",
            "address_2": "STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CODELL DR",
            "address_2": "STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091179",
            "telephone_number": "859-516-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "THURMOND",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-516-2081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "8452",
            "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 21, 2011; 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.