NPIMap

Organization Active NPI

The Morehead Dental Group, PSC

  • General Practice Dentistry
  • Morehead, KY
National Provider Identifier
1245320241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5986 Issued in KY
Legal business name
THE MOREHEAD DENTAL GROUP, PSC
Practice address
309 E Main St
Morehead, KY 40351-1659
Phone
(606) 784-6436
Fax
(606) 784-1665
NPI assigned
Oct 13, 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
Karen Sue Marshall, R.D.H.
Title
Office Manager
Phone
(606) 784-6436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5986 KY Primary

Addresses

Primary practice location

309 E Main St
Morehead, KY 40351-1659

Mailing address

309 E Main St
Morehead, KY 40351-1659
Phone (606) 784-6436

Other identifiers 1

IdentifierTypeStateIssuer
61900551MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245320241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511659",
            "telephone_number": "606-784-6436",
            "fax_number": "606-784-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511659",
            "telephone_number": "606-784-6436",
            "fax_number": "606-784-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOREHEAD DENTAL GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-784-6436",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900551",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, 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.