Jesse Mark Porter, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6446 Issued in KY

Practice address

2104 Argillite Rd
Flatwoods, KY 41139-1620

Phone

(606) 836-7228

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205978277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411390853",
            "telephone_number": "606-836-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 ARGILLITE RD",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411391620",
            "telephone_number": "606-836-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JESSE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Lady of Bellefonte Hospital, Inc.
• Michelle D Parker, OTR/L
• Julian Parra, MD
• Lisa Pennington, PA-C
• Per Diem Inc (Ability Rehab)
• Kelly Potter, M.ED.
• Precision Orthopedic Technology, Inc.
• Megan Redmond, PT, DPT
• Ronald E Lewis DMD PSC
• Rachel Ann Rowland, PTA

• General Practice Dentistry in Flatwoods, KY
• Providers in Flatwoods, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.