NPIMap

Organization Active NPI

Tates Creek Dental, PSC

Doing business as Harrodsburg Family Dentistry

  • General Practice Dentistry
  • Harrodsburg, KY
National Provider Identifier
1245734763
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TATES CREEK DENTAL, PSC
Doing business as
Harrodsburg Family Dentistry
Practice address
517 Legion Dr
Harrodsburg, KY 40330-2186
Phone
(859) 734-7709
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
TATES CREEK DENTAL, PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Jeff King, DMD
Title
Dentist
Phone
(859) 734-7709

Specialties & licenses 1

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

Addresses

Primary practice location

517 Legion Dr
Harrodsburg, KY 40330-2186

Mailing address

517 Legion Dr
Harrodsburg, KY 40330-2186
Phone (859) 734-7709

Other names 1

  • Harrodsburg Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tates Creek Dental PSC2 organizations share this tax ID, including this one
Part of
Tates Creek Dental PSC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

517 Legion Dr
Harrodsburg, KY 40330
Phone (859) 734-7709

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1245734763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 LEGION DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403302186",
            "telephone_number": "859-734-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 LEGION DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403302186",
            "telephone_number": "859-734-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATES CREEK DENTAL, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TATES CREEK DENTAL, PSC",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-734-7709",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrodsburg Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrodsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.