NPIMap

Organization Active NPI

Broadway Dental Care

  • General Practice Dentistry
  • Paducah, KY
National Provider Identifier
1194137141
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9440 Issued in KY
Legal business name
BROADWAY DENTAL CARE
Practice address
2018 Broadway St
Paducah, KY 42001-7108
Phone
(270) 443-9099
Fax
(270) 443-9052
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. James K. Hunt, D.M.D.
Title
Dr.
Phone
(270) 443-9099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9440 KY Primary

Addresses

Primary practice location

2018 Broadway St
Paducah, KY 42001-7108

Mailing address

2018 Broadway St
Paducah, KY 42001-7108
Phone (270) 443-9099

National Provider Directory

National Provider Directory
Tax ID family
Broadway Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2018 Broadway St
Paducah, KY 42001
Phone (270) 443-9099

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1194137141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017108",
            "telephone_number": "270-443-9099",
            "fax_number": "270-443-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017108",
            "telephone_number": "270-443-9099",
            "fax_number": "270-443-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "270-443-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.