Active NPI
Elizabeth Kelty McLaurin, DMD
- Pediatric Dentistry
- Highland Heights, KY
National Provider Identifier
1255712428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9655
- Practice address
- 1809 Alexandria Pike
Highland Heights, KY 41076-1155 - Phone
- (859) 803-0708
- NPI assigned
- Jun 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 9655 | KY | Primary |
Addresses
Primary practice location
1809 Alexandria Pike
Highland Heights, KY 41076-1155
Mailing address
1680 Park Rd
Covington, KY 41011-2776
Phone (601) 613-7259
Other practice location 1
800 Rose Street D 538
Lexington, KY 40536-0001
Phone (859) 323-9707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9655 | KY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1255712428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 PARK RD",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410112776",
"telephone_number": "601-613-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 ALEXANDRIA PIKE",
"city": "HIGHLAND HEIGHTS",
"state": "KY",
"postal_code": "410761155",
"telephone_number": "859-803-0708"
}
],
"practiceLocations": [
{
"address_1": "800 Rose Street D 538",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360001",
"country_code": "US",
"telephone_number": "859-323-9707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLAURIN",
"first_name": "ELIZABETH",
"middle_name": "KELTY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-14",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "9655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Heights, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.