NPIMap

Organization Active NPI

Associates in Dentistry, LLC

  • General Practice Dentistry
  • Whitley City, KY
National Provider Identifier
1194899161
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5243 Issued in KY
Legal business name
ASSOCIATES IN DENTISTRY, LLC
Practice address
54 Medical Lane
Whitley City, KY 42653
Phone
(606) 376-5055
NPI assigned
Nov 20, 2006
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Dr. Kenneth Wayne Lose, DMD
Title
Partner
Phone
(606) 376-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5243 KY Primary

Addresses

Primary practice location

54 Medical Lane
Whitley City, KY 42653

Mailing address

PO Box 608
Whitley City, KY 42653-0608
Phone (606) 376-5055

National Provider Directory

National Provider Directory
Tax ID family
Associates in Dentistry LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

54 Medical Ln
Whitley City, KY 42653
Phone (606) 376-5055

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1194899161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426530608",
            "telephone_number": "606-376-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MEDICAL LANE",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "42653",
            "telephone_number": "606-376-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "LOSE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "606-376-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitley City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.