Lisa M Ford, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7647 Issued in KY

Practice address

161 Richmond Rd
Irvine, KY 40336

Phone

(606) 723-4112

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky River Dentistry, PSC

  • General Practice Dentistry
  • Irvine, KY
  • NPI 1821131954
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255478053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 RICHMOND ROAD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "40336",
            "telephone_number": "606-723-4112",
            "fax_number": "606-723-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "40336",
            "telephone_number": "606-723-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000536",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Extendicare Homes, Inc. (Irvine Health & Rehabilitation Center)
• Extendicare Homes, Inc. (Day Break)
• Eyecare Center Optometrist PSC
• Keith S Feck, MS, LPA
• Hilary Anne Flickinger, PHARM D
• Kalen Trevor Freeman, PHARMD
• Fusion Therapy, PLLC
• Belinda Sue Gadd
• Charlotte L Garber, LSW
• Jason W Gay, DMD

• General Practice Dentistry in Irvine, KY
• Providers in Irvine, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.