Individual provider Active NPI

Charles Ira Emrich, DMD

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1154307585
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4985 Issued in KY
Practice address
131 Prosperous PL
Suite 20 a
Lexington, KY 40509-1853
Phone
(859) 263-8888
Fax
(859) 263-8889
NPI assigned
Dec 19, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4985 KY Primary

Addresses

Primary practice location

131 Prosperous PL
Suite 20 a
Lexington, KY 40509-1853

Mailing address

131 Prosperous PL
Suite 20 a
Lexington, KY 40509-1853
Phone (859) 263-8888

Other identifiers 1

IdentifierTypeStateIssuer
60049855MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20231010001536 KY Practitioner - Dentist 5799078374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4985KYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Claire Medical Center, Inc CurrentSince Sep 1, 2023 Accepting new patients
St. Claire Medical Center, Inc General Practice Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Sep 1, 2023 Accepting new patients
St Claire Regional Radiology Physicians Services Current Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
St. Claire Medical Center Inc. Past Accepting new patients
Faith Healthcare Inc Past Accepting new patients
Charles I. Emrich and Associates PSC General Practice Past Accepting new patients

Locations

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154307585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PROSPEROUS PL",
            "address_2": "SUITE 20 A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091853",
            "telephone_number": "859-263-8888",
            "fax_number": "859-263-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PROSPEROUS PL",
            "address_2": "SUITE 20 A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091853",
            "telephone_number": "859-263-8888",
            "fax_number": "859-263-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMRICH",
        "first_name": "CHARLES",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60049855",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.