Caylee Duncan Ervin, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10252 Issued in KY

Practice address

700 Barret Blvd Ste a
Henderson, KY 42420-7526

Phone

(270) 827-5522

NPI assigned

May 24, 2019

Last updated

Oct 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Henderson Children's Dentistry, LLC

  • Pediatric Dentistry
  • Henderson, KY
  • NPI 1144916941
  NPD
• Brad T Fulkerson, DMD,MSD,LLC

  • Pediatric Dentistry
  • Henderson, KY
  • NPI 1730457763
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1154988103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 STATE ROUTE 2153",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424377260",
            "telephone_number": "270-635-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BARRET BLVD STE A",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424207526",
            "telephone_number": "270-827-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "CAYLEE",
        "middle_name": "DUNCAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10252",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12013337A",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "10252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Elliott
• James Cobb Ellis, D.M.D
• Melissa Dhea Elmore, P.T.A.
• James Howard England, DC
• Macy England
• Eric Douglas Ervin, MD
• Lashagiorgi Esebua, MD
• Evolve Early Intervention
• Evolve Pediatrics, LLC
• Extendicare Homes, Inc. (Medco Center of Henderson)

• Pediatric Dentistry in Henderson, KY
• Providers in Henderson, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.