Organization Active NPI

Gentle Care Dentistry

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1134448566
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7403 Issued in KY
Legal business name
GENTLE CARE DENTISTRY
Practice address
2558 Larkin Rd
Lexington, KY 40503-3205
Phone
(859) 277-1151
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Julie Lynn Sandifer, CPC
Title
Consultant
Phone
(502) 319-3144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7403 KY Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8809 KY

Addresses

Primary practice location

2558 Larkin Rd
Lexington, KY 40503-3205

Mailing address

2558 Larkin Rd
Lexington, KY 40503-3205
Phone (859) 277-1151

Other identifiers 2

IdentifierTypeStateIssuer
1811911480MedicaidKY
1245460617MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Gentle Care Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2558 Larkin Rd
Lexington, KY 40503
Phone (859) 277-1151

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1134448566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 LARKIN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033205",
            "telephone_number": "859-277-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 LARKIN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033205",
            "telephone_number": "859-277-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "SANDIFER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "502-319-3144",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7403",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811911480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245460617",
            "state": "KY"
        }
    ],
    "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 May 25, 2010; 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.