Individual provider Active NPI

John T Norden, DMD

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1295864460
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0107 Issued in AL
Practice address
2134 Nicholasville Rd
#7
Lexington, KY 40503
Phone
(859) 276-4345
Fax
(859) 278-5076
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8357 KY
Dentist 122300000X 019030477 IL
General Practice Dentistry 1223G0001X 0107 AL Primary

Addresses

Primary practice location

2134 Nicholasville Rd
#7
Lexington, KY 40503

Mailing address

2134 Nicholasville Rd
#7
Lexington, KY 40503
Phone (859) 276-4345

Other identifiers 1

IdentifierTypeStateIssuer
60004371MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406001305 AL Order and Referring Only - Other (Non-Physician) 9234437393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019030477ILMDDentist
0107ALMDGeneral Practice Dentistry
8357KYMDGeneral Practice Dentistry
107ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Billy Forbess, D.M.D., P. S. C. General Practice 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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1295864460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 NICHOLASVILLE RD",
            "address_2": "#7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-276-4345",
            "fax_number": "859-278-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 NICHOLASVILLE RD",
            "address_2": "#7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-276-4345",
            "fax_number": "859-278-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDEN",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8357",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030477",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "0107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60004371",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.