Organization Active NPI

Farmer Pediatric Dentistry, PSC

  • Pediatric Dentistry
  • Hazard, KY
National Provider Identifier
1144575671
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FARMER PEDIATRIC DENTISTRY, PSC
Practice address
305 Morton Blvd
Hazard, KY 41701-9418
Phone
(606) 436-5437
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Andrew Benjamin FarmerNPI 1992026363
Title
Pediatric Dentist
Phone
(606) 436-5437

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

305 Morton Blvd
Hazard, KY 41701-9418

Mailing address

305 Morton Blvd
Hazard, KY 41701-9418
Phone (606) 436-5437

Other identifiers 1

IdentifierTypeStateIssuer
7100200040MedicaidKY

National Provider Directory

National Provider Directory

Locations

68 Nautilus Dr
Hazard, KY 41701

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": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1144575671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019418",
            "telephone_number": "606-436-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019418",
            "telephone_number": "606-436-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMER PEDIATRIC DENTISTRY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "606-436-5437",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100200040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.