NPIMap

Organization Active NPI

Kentucky Dermatology Obs Lexington

  • Ambulatory Surgical Clinic/Center
  • Lexington, KY
National Provider Identifier
1255463063
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KENTUCKY DERMATOLOGY OBS LEXINGTON
Practice address
177 Burt Rd
Lexington, KY 40503-2410
Phone
(859) 276-1511
Fax
(859) 276-3373
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Clifton Smith, MD
Title
Owner
Phone
(859) 276-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

177 Burt Rd
Lexington, KY 40503-2410

Mailing address

177 Burt Rd
Lexington, KY 40503-2410
Phone (859) 276-1511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1255463063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032410",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032410",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY DERMATOLOGY OBS LEXINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-276-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 13, 2008; 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.