NPIMap

Organization Active NPI

Western Kentucky University

  • General Practice Dentistry
  • Bowling Green, KY
National Provider Identifier
1194066324
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESTERN KENTUCKY UNIVERSITY
Practice address
1906 College Heights Blvd # 21038
Academic Complex 201
Bowling Green, KY 42101-1000
Phone
(270) 745-4138
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Mr. Matthew Hunt, M.A.
Title
Director
Phone
(270) 745-4138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1906 College Heights Blvd # 21038
Academic Complex 201
Bowling Green, KY 42101-1000

Mailing address

1906 College Heights Blvd # 21038
Academic Complex 201
Bowling Green, KY 42101-1000

Other names 1

  • WKU Institute for Rural Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Kentucky University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1906 College Heights Blvd
#21038
Bowling Green, KY 42101
Phone (270) 745-4138

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1194066324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 COLLEGE HEIGHTS BLVD # 21038",
            "address_2": "ACADEMIC COMPLEX 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COLLEGE HEIGHTS BLVD # 21038",
            "address_2": "ACADEMIC COMPLEX 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011000",
            "telephone_number": "270-745-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-745-4138",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WKU Institute for Rural Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 13, 2013; 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.