Organization Active NPI

Charles I. Emrich and Associates PSC

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1245282706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4985 Issued in KY
Legal business name
CHARLES I. EMRICH AND ASSOCIATES PSC
Practice address
131 Prosperous PL
Suite 20 a
Lexington, KY 40509-1853
Phone
(859) 263-8888
Fax
(859) 263-0030
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Ira Emrich, DMDNPI 1154307585
Title
Dentist/Ceo
Phone
(859) 263-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4985 KY Primary

Addresses

Primary practice location

131 Prosperous PL
Suite 20 a
Lexington, KY 40509-1853

Mailing address

131 Prosperous PL
Suite 20 a
Lexington, KY 40509-1853
Phone (859) 263-8888

Other identifiers 1

IdentifierTypeStateIssuer
60049855MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245282706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PROSPEROUS PL",
            "address_2": "SUITE 20 A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091853",
            "telephone_number": "859-263-8888",
            "fax_number": "859-263-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PROSPEROUS PL",
            "address_2": "SUITE 20 A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091853",
            "telephone_number": "859-263-8888",
            "fax_number": "859-263-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES I. EMRICH AND ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMRICH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "859-263-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60049855",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.