Individual provider Active NPI

Stephen Wilson Farley, D.M.D.

  • General Practice Dentistry
  • Versailles, KY
National Provider Identifier
1255549200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4745 Issued in KY
Practice address
426 Lexington Rd
Suite 250
Versailles, KY 40383-1798
Phone
(859) 873-7343
Fax
(859) 879-0434
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4745 KY Primary

Addresses

Primary practice location

426 Lexington Rd
Suite 250
Versailles, KY 40383-1798

Mailing address

426 Lexington Rd
Suite 250
Versailles, KY 40383-1798
Phone (859) 873-7343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213001193 KY Practitioner - Dentist 2163715715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky General Practice CurrentSince Nov 5, 2021 Accepting new patients
University of Kentucky CurrentSince Nov 5, 2021 Accepting new patients

Locations

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255549200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 LEXINGTON RD",
            "address_2": "SUITE 250",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831798",
            "telephone_number": "859-873-7343",
            "fax_number": "859-879-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 LEXINGTON RD",
            "address_2": "SUITE 250",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831798",
            "telephone_number": "859-873-7343",
            "fax_number": "859-879-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "STEPHEN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

Verify at the official NPI Registry.