Individual provider Active NPI

Vlado Pavlovic, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1194371112
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10321 Issued in KY
Practice address
4050 Cottingham Dr
Cincinnati, OH 45241-1626
Phone
(513) 786-0260
NPI assigned
Aug 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10321 KY Primary

Addresses

Primary practice location

4050 Cottingham Dr
Cincinnati, OH 45241-1626

Mailing address

844 W High St Unit 1
Lexington, KY 40508-2514
Phone (740) 825-0745

Other practice location 1

800 Rose St Ste D104
Lexington, KY 40536-7001
Phone (859) 323-3368

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
I20251028004477 KY Practitioner - Dentist 1052800257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Detroit Mercy School of Dentistry, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Waller Ave
Suite 209
Lexington, KY 40503-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10321KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky General Practice CurrentSince Oct 15, 2025 Accepting new patients
University of Kentucky CurrentSince Oct 15, 2025 Accepting new patients
University of Kentucky Past Accepting new patients
23 Beadle Dentistry General Practice PastSince Aug 1, 2019 Accepting new patients
University of Kentucky General Practice Past Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

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

800 Rose St
Ste D104
Lexington, KY 40536
Phone (859) 323-3368

Organizations & group practices 5

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1194371112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 W HIGH ST UNIT 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082514",
            "telephone_number": "740-825-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 COTTINGHAM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411626",
            "telephone_number": "513-786-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St Ste D104",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-323-3368",
            "fax_number": "859-257-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLOVIC",
        "first_name": "VLADO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.