Individual provider Active NPI

Elliot Douglas Neuman, D.M.D., M.S.

  • Periodontics
  • Lexington, KY
National Provider Identifier
1184900797
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
956 Issued in KY
Practice address
540 E Main St Ste 7
Lexington, KY 40508-2328
Phone
(859) 252-7726
Fax
(859) 252-7728
NPI assigned
Oct 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 956 KY Primary
Dentist 122300000X 9025 KY

Addresses

Primary practice location

540 E Main St Ste 7
Lexington, KY 40508-2328

Mailing address

540 E Main St Ste 7
Lexington, KY 40508-2328
Phone (859) 252-7726

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
I20140523001439 KY Practitioner - DentistPractitioner - Oral Surgery 6800019605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
956KYMDPeriodontist
9025KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Dentist CurrentSince Jul 1, 2013 Accepting new patients
University of Kentucky CurrentSince Jul 1, 2013 Accepting new patients

Locations

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

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533

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": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1184900797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST STE 7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082328",
            "telephone_number": "859-252-7726",
            "fax_number": "859-252-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST STE 7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082328",
            "telephone_number": "859-252-7726",
            "fax_number": "859-252-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMAN",
        "first_name": "ELLIOT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "956",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.