Albert Martyn Vollmer III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5269 Issued in KY

Practice address

732 Highway 36
Frenchburg, KY 40322-8123

Phone

(606) 768-6345

NPI assigned

Sep 16, 2006

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

Other identifiers 2

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• St Claire Medical Center, Inc.,

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535

  KY

  Medicare reassignment NPD
• St Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1477236487
  NPD
• St Claire Regional Radiology Physicians Services

  • Diagnostic Radiology Physician
  • Morehead, KY
  • NPI 1710987508
  NPD
• St. Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Frenchburg, KY
  • NPI 1265493993
  NPD
• St. Claire Medical Center, Inc

  • Family Medicine Physician
  • Morehead, KY
  • NPI 1326009044

  General Practice

  NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1215033261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-6345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511550",
            "country_code": "US",
            "telephone_number": "606-783-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLLMER",
        "first_name": "ALBERT",
        "middle_name": "MARTYN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60052693",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5269",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Stafford, P.A.
• Glen R Standafer, APRN
• Sara Taulbee
• Tory Thomas
• Jamie Sheree Vance, ARNP
• Leslie Wells
• Vicki-Lea Amber Wilburn, LCSW
• Marianne Williams

• All providers in Frenchburg, KY
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.