Timothy Allen Cude, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10308 Issued in KY

Practice address

267 Slickback Rd
Benton, KY 42025

Phone

(270) 527-8441

Fax

(270) 527-4187

NPI assigned

Mar 25, 2019

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• University of Kentucky

  dba UK College of Dentistry

  • Dentist
  • Lexington, KY
  • NPI 1306929385

  General Practice

  NPD

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1265993125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 SLICKBACK RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "42025",
            "telephone_number": "270-527-8441",
            "fax_number": "270-527-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 SLICKBACK RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "42025",
            "telephone_number": "270-527-8441",
            "fax_number": "270-527-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDE",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Pharmacy Solutions, LLC (Comprehensive Pharmacy Solutions)
• Meredith A Crider, APRN
• Rebecca Jean Crider, MPT, WCC
• Levi Crossley, MSOT, OTR/L
• Andrew Steven Cude, DMD
• Mary Jane Darnell, COTA
• Rhonda K Darnell, APRN
• David E. Cassity PLLC
• Bruce S David, CRNA
• Allison Sortino Davis, OTD, OTR/L

• General Practice Dentistry in Benton, KY
• Providers in Benton, 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 Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.