NPIMap

Organization Active NPI

Randon S. Prather, D.M.D., P.S.C.

Doing business as Gentle Dental Care

  • General Practice Dentistry
  • Benton, KY
National Provider Identifier
1306235619
Registry record updated Jan 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9492 Issued in KY
Legal business name
RANDON S. PRATHER, D.M.D., P.S.C.
Doing business as
Gentle Dental Care
Practice address
1301 Olive St
Benton, KY 42025-1640
Phone
(270) 527-1479
NPI assigned
Jan 11, 2015
Last updated
Jan 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2015

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

Authorized official

Name
Dr. Randon Scott Prather, D.M.D.NPI 1013321678
Title
President
Phone
(270) 527-1479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9492 KY Primary

Addresses

Primary practice location

1301 Olive St
Benton, KY 42025-1640

Mailing address

1301 Olive St
PO Box 585
Benton, KY 42025-1640
Phone (270) 527-1479

Other names 1

  • Gentle Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1301 Olive St
Benton, KY 42025
Phone (270) 527-1479

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1420934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420934400000",
    "number": "1306235619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 OLIVE ST",
            "address_2": "PO BOX 585",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251640",
            "telephone_number": "270-527-1479",
            "fax_number": "270-527-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OLIVE ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251640",
            "telephone_number": "270-527-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDON S. PRATHER, D.M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-11",
        "last_updated": "2015-01-11",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "RANDON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-527-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2015; 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.