Organization Active NPI

Dr. William Kelley Cherry

  • General Practice Dentistry
  • Bowling Green, KY
National Provider Identifier
1164770103
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. WILLIAM KELLEY CHERRY
Practice address
1640 Scottsville Rd. Suite 300
Suite 300
Bowling Green, KY 42104
Phone
(270) 842-5300
Fax
(270) 842-5313
NPI assigned
Aug 23, 2012
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. William Kelley Cherry, DMDNPI 1578789533
Title
Dentist
Phone
(270) 842-5300

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1640 Scottsville Rd. Suite 300
Suite 300
Bowling Green, KY 42104

Mailing address

1640 Scottsville Road, Suite 300
Suite 300
Bowling Green, KY 42104
Phone (270) 842-5300

National Provider Directory

National Provider Directory

Locations

1640 Scottsville Rd
Ste 300
Bowling Green, KY 42104
Phone (270) 796-3738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1164770103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 SCOTTSVILLE ROAD, SUITE 300",
            "address_2": "SUITE 300",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "270-842-5300",
            "fax_number": "270-842-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 SCOTTSVILLE RD. SUITE 300",
            "address_2": "SUITE 300",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "270-842-5300",
            "fax_number": "270-842-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIAM KELLEY CHERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "270-842-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.