Allison Kendall Marlow Disney, D.D.S, M.S.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10010 Issued in KY

Practice address

8136 Mall Road
Florence, KY 41042

Phone

(859) 371-6543

Fax

(859) 282-3112

NPI assigned

Jul 19, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 16, 2022 through Feb 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Southern Roots Perio Highland Heights

  • Dental Clinic/Center
  • Cold Spring, KY
  • NPI 1164152260
  NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1306369665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 MALL ROAD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-371-6543",
            "fax_number": "859-282-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 MALL ROAD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-371-6543",
            "fax_number": "859-282-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Thomas",
            "state": "KY",
            "postal_code": "410754107",
            "country_code": "US",
            "telephone_number": "859-441-4805",
            "fax_number": "859-282-3112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8136 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421414",
            "country_code": "US",
            "telephone_number": "859-371-6543",
            "fax_number": "859-282-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISNEY",
        "first_name": "ALLISON",
        "middle_name": "KENDALL MARLOW",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "10010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Dilonardo, DPT
• Dinn Chiropractic PLLC
• Mae Dinn
• Phillip Craig Dinn, D.C.
• Kristin Disibio, CSW
• Chandra Elizabeth Dixon, LPCA
• Nakia Dodds, LPN
• Hailey Jalynn Donahue, RBT
• Maryclare Donaldson
• Meredith Himmler Donnelly, M.D.

• Periodontics in Florence, KY
• Providers in Florence, KY by specialty
• Periodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.