Carlisle Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8056 Issued in KY

Legal business name

CARLISLE FAMILY DENTAL

Practice address

110 S Locust St
Carlisle, KY 40311-1123

Phone

(859) 289-5418

Fax

(859) 289-8153

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Ira Allen, D.M.D.NPI 1245347897

Title

Owner/Dentist

Phone

(859) 227-7290

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Ira Allen, DMD

  • General Practice Dentistry
  • Georgetown, KY
  • NPI 1245347897
  NPD (past) Authorized official

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1245505908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S LOCUST ST",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403111123",
            "telephone_number": "859-289-5418",
            "fax_number": "859-289-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S LOCUST ST",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403111123",
            "telephone_number": "859-289-5418",
            "fax_number": "859-289-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "859-227-7290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "8056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100053320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bourbon Physician Practice LLC (Carlisle Clinic)
• Kelly Butler-Vise, PA-C
• Cara Jean Cain, LPCA
• Carlisle Clinic, PSC
• Carlisle Drug Inc
• Carlisle Family Dental LLC
• Carrier Contract Therapy Services LLC
• Mary Carrier
• Sarah E Eiswerth, PT, DPT
• Essential Renew, PLLC

• Dental Clinic/Center in Carlisle, KY
• Providers in Carlisle, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.