Individual provider Active NPI

Debora Lopes Salles Scheffel, DDS

  • Pediatric Dentistry
  • Lexington, KY
National Provider Identifier
1184321119
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10864 Issued in KY
Practice address
740 S Limestone Ste A201
Lexington, KY 40536-0001
Phone
(859) 323-6261
Fax
(859) 323-2036
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10864 KY Primary

Addresses

Primary practice location

740 S Limestone Ste A201
Lexington, KY 40536-0001

Mailing address

2200 Tracery Oaks Dr Apt 3206
Lexington, KY 40514-8309
Phone (706) 373-1221

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
I20230329001066 KY Practitioner - Dentist 6002280203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Pediatric Dentistry CurrentSince Mar 14, 2023 Accepting new patients
University of Kentucky CurrentSince Mar 14, 2023 Accepting new patients

Locations

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1184321119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 TRACERY OAKS DR APT 3206",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405148309",
            "telephone_number": "706-373-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE A201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-6261",
            "fax_number": "859-323-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPES SALLES SCHEFFEL",
        "first_name": "DEBORA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-08-08",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "10864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.