Individual provider Active NPI

William Joseph Verax III, DMD

  • General Practice Dentistry
  • Falmouth, KY
National Provider Identifier
1235192303
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5246 Issued in KY
Practice address
211 W Shelby St
Falmouth, KY 41040-1158
Phone
(859) 654-5041
Fax
(859) 654-4186
NPI assigned
Apr 10, 2006
Last updated
Dec 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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 5246 KY Primary

Addresses

Primary practice location

211 W Shelby St
Falmouth, KY 41040-1158

Mailing address

211 W Shelby St
Falmouth, KY 41040-1158
Phone (859) 654-5041

Other identifiers 1

IdentifierTypeStateIssuer
60052461MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1235192303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W SHELBY ST",
            "city": "FALMOUTH",
            "state": "KY",
            "postal_code": "410401158",
            "telephone_number": "859-654-5041",
            "fax_number": "859-654-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W SHELBY ST",
            "city": "FALMOUTH",
            "state": "KY",
            "postal_code": "410401158",
            "telephone_number": "859-654-5041",
            "fax_number": "859-654-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERAX III",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60052461",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.