NPIMap

Organization Active NPI

Beaumont Family Dentistry at Leestown

  • Dentist
  • Lexington, KY
National Provider Identifier
1124364252
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BEAUMONT FAMILY DENTISTRY AT LEESTOWN
Practice address
100 Trade St
Suite175
Lexington, KY 40511-2634
Phone
(859) 368-8206
Fax
(859) 554-6150
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Patricia E Takacs, DMDNPI 1659477347
Title
Dentist/Owner
Phone
(859) 223-2120

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 MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

100 Trade St
Suite175
Lexington, KY 40511-2634

Mailing address

100 Trade St
Suite175
Lexington, KY 40511-2634
Phone (859) 368-8206

National Provider Directory

National Provider Directory

Locations

100 Trade St
Ste 175
Lexington, KY 40511
Phone (859) 368-8206

Practitioners & affiliated clinicians

Practitioners 3

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": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1124364252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRADE ST",
            "address_2": "SUITE175",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112634",
            "telephone_number": "859-368-8206",
            "fax_number": "859-554-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRADE ST",
            "address_2": "SUITE175",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112634",
            "telephone_number": "859-368-8206",
            "fax_number": "859-554-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT FAMILY DENTISTRY AT LEESTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "TAKACS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "859-223-2120",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Dec 18, 2012; 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.