Individual provider Active NPI

Amy Elizabeth Parsons, D.M.D.

  • General Practice Dentistry
  • Whitley City, KY
National Provider Identifier
1134560956
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9389 Issued in KY
Practice address
19 Medical Loop Ste 3
Whitley City, KY 42653-4382
Phone
(606) 376-5391
NPI assigned
Jul 9, 2013
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12012428A IN
General Practice Dentistry 1223G0001X 30.024032 OH
General Practice Dentistry 1223G0001X 9389 KY Primary

Addresses

Primary practice location

19 Medical Loop Ste 3
Whitley City, KY 42653-4382

Mailing address

85 McCall Lane
Mount Vernon, KY 40456-2399
Phone (606) 308-9485

Other practice location 1

8340 Colerain Ave
Cincinnati, OH 45239-3916
Phone (513) 385-5999

Other practice location 2

1019 W Eads Pkwy
Lawrenceburg, IN 47025-1162
Phone (812) 496-5828

Other practice location 3

1019 W Eads Pkwy
Lawrenceburg, IN 47025-1162
Phone (812) 496-5828

Other identifiers 1

IdentifierTypeStateIssuer
7100291760MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511002303 IN Order and Referring Only - DentistPractitioner - Dentist 8527357763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012428AINMDGeneral Practice Dentistry
30.024032OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1134560956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MCCALL LANE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562399",
            "telephone_number": "606-308-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEDICAL LOOP STE 3",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426534382",
            "telephone_number": "606-376-5391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Colerain Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452393916",
            "country_code": "US",
            "telephone_number": "513-385-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 W Eads Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470251162",
            "country_code": "US",
            "telephone_number": "812-496-5828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 W Eads Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470251162",
            "country_code": "US",
            "telephone_number": "812-496-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012428A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024032",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100291760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitley City, KY

Sources for this page

Verify at the official NPI Registry.