Active NPI
Lexington Children's Dentistry
- Pediatric Dentistry
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8732
- Legal business name
- LEXINGTON CHILDREN'S DENTISTRY
- Practice address
- 4384 Clearwater Way
Suite 150
Lexington, KY 40515-6477 - Phone
- (859) 321-7048
- NPI assigned
- Feb 2, 2015
- Last updated
- Feb 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Raybould, D.M.D.
- Title
- Owner/Manager
- Phone
- (859) 321-7051
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8732 | KY | Primary |
Addresses
Primary practice location
4384 Clearwater Way
Suite 150
Lexington, KY 40515-6477
Mailing address
725 Beechmont Rd
Lexington, KY 40502-2837
Phone (859) 321-7048
National Provider Directory
National Provider Directory- Tax ID family
- Lexington Children's Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Lexington, KY
- NPI 1174912224
Locations
4384 Clearwater Way
Ste 150
Lexington, KY 40515
Phone (859) 317-6810
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.
-
- Pediatric Dentistry
- Lexington, KY
- NPI 1689817579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422835200000",
"number": "1194115857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 BEECHMONT RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022837",
"telephone_number": "859-321-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4384 CLEARWATER WAY",
"address_2": "SUITE 150",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156477",
"telephone_number": "859-321-7048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON CHILDREN'S DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A",
"authorized_official_last_name": "RAYBOULD",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "859-321-7051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "8732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Lexington Addiction Center LLC
- Lexington Anesthesia, PSC
- Lexington Bluegrass Airport
- Lexington Caregivers LLC (Lexington Caregivers)
- Lexington Child and Adolescent Psychiatry
- Lexington Clinic Kidney Center
- Lexington Clinic Laboratory Inc
- Lexington Compounding Pharmacy, Inc. (Lexington Compounding Pharmacy)
- Lexington Counseling and Psychiatry, PLLC
- Lexington Dental Sleep Therapy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.