Individual provider Active NPI

Lorna Ellen Salyer Smith, DMD

  • Dentist
  • Bowling Green, KY
National Provider Identifier
1265500011
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7870 Issued in KY
Practice address
1025 Ashley St
Suite C
Bowling Green, KY 42103-3406
Phone
(270) 842-0025
Fax
(270) 842-0093
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7870 KY Primary

Addresses

Primary practice location

1025 Ashley St
Suite C
Bowling Green, KY 42103-3406

Mailing address

1025 Ashley St
Suite C
Bowling Green, KY 42103-3406
Phone (270) 842-0025

Other identifiers 1

IdentifierTypeStateIssuer
60001542MedicaidKY

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
I20170125002776 KY Order and Referring Only - DentistPractitioner - Dentist 4688956790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7870KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Professionals of Kentucky, P.S.C Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1265500011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ASHLEY ST",
            "address_2": "SUITE C",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033406",
            "telephone_number": "270-842-0025",
            "fax_number": "270-842-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ASHLEY ST",
            "address_2": "SUITE C",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033406",
            "telephone_number": "270-842-0025",
            "fax_number": "270-842-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYER SMITH",
        "first_name": "LORNA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60001542",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.