Pediatric Dental Garden Center

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8183 Issued in KY

Legal business name

PEDIATRIC DENTAL GARDEN CENTER

Practice address

2765 Chapel PL
Ste. 250
Crestview Hills, KY 41017-3413

Phone

(859) 344-6200

Fax

(859) 344-0980

NPI assigned

Dec 9, 2011

Last updated

Dec 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sophie Duval-Austin, D.M.D.NPI 1316094329

Title

Dentist

Phone

(859) 344-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sophie Duval-Austin, DMD

  • Pediatric Dentistry
  • Crestview Hills, KY
  • NPI 1316094329
  Authorized official Same address or phone

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1285902940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 CHAPEL PL",
            "address_2": "STE. 250",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173413",
            "telephone_number": "859-344-6200",
            "fax_number": "859-344-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 CHAPEL PL",
            "address_2": "STE. 250",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173413",
            "telephone_number": "859-344-6200",
            "fax_number": "859-344-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL GARDEN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "DUVAL-AUSTIN",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-344-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "8183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316094329",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rebekah Pattison, D.O.
• Anna Patton, MSW, LCSW
• Karlina M Patton, M.D.
• Dawn Danette Peak, APRN
• Pediatric Associates PSC
• John Todd Perkins, MD
• Pete J. Rauen D.M.D., Inc. (Crestview Hills Dental)
• Danielle Renee Piening
• Lynn Harold Pierson, PH.D.
• Nicole Kayla Pilch

• Pediatric Dentistry in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.