Active NPI
Steven M Tallent II, DMD
- Dentist
- Monticello, KY
National Provider Identifier
1194085977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9171
- Practice address
- 1225 N. Main St.
Brummett Cosmetic and Family Dentistry
Monticello, KY 42633 - Phone
- (606) 340-0740
- Fax
- (606) 340-0742
- NPI assigned
- May 25, 2012
- Last updated
- Aug 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9171 | KY | Primary |
Addresses
Primary practice location
1225 N. Main St.
Brummett Cosmetic and Family Dentistry
Monticello, KY 42633
Mailing address
1225 N. Main St.
Brummett Cosmetic and Family Dentistry
Monticello, KY 42633
Phone (606) 340-0740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9171 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Healthcare Inc | Past | Accepting new patients | |
| Tallent Cosmetic and Family Dentistry | Past | Accepting new patients | |
| Brummett Cosmetic and Family Dentistry | Dentist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAGHBD
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Albany, KY
- NPI 1205190733
-
- Dentist
- Monticello, KY
- NPI 1831292499
-
dba Faith Dental of Monticello
- Federally Qualified Health Center (FQHC)
- Monticello, KY
- NPI 1013787910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1194085977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 N. MAIN ST.",
"address_2": "BRUMMETT COSMETIC AND FAMILY DENTISTRY",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "42633",
"telephone_number": "606-340-0740",
"fax_number": "606-340-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N. MAIN ST.",
"address_2": "BRUMMETT COSMETIC AND FAMILY DENTISTRY",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "42633",
"telephone_number": "606-340-0740",
"fax_number": "606-340-0742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLENT",
"first_name": "STEVEN",
"middle_name": "M",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-25",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.