The Ageless Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE AGELESS CENTER

Practice address

149 Moore Dr
Lexington, KY 40503-2918

Phone

(859) 335-1330

NPI assigned

Sep 14, 2018

Organization subpart

No

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

Authorized official

Name

Mr. William Shae

Title

Owner

Phone

(859) 335-1330

Specialties & licenses 2

Addresses

Other names 1

• The Ageless Center Doing business as

Locations

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1144703133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MOORE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032918",
            "telephone_number": "859-335-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MOORE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032918",
            "telephone_number": "859-335-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AGELESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "SHAE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-335-1330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ageless Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nimish Thakral, MD
• Kshitij Thakur, M.D.
• Anna Rachele Thamann, M.D.
• Mangayarkarasi Thandampallayam Ajjeya Gowder, MD
• Anjila Thapa
• The Bair Foundation
• The Bariatric Institue of Kentucky
• The Birth Haven LLC
• The Grove at Lexington
• The Humantouch

• Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.