Active NPI
Kevin Lee Cox, DMD
- Dentist
- Bowling Green, KY
National Provider Identifier
1316012941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7664
- Practice address
- 1818 Wallace CT.
Suite 401
Bowling Green, KY 42103-2462 - Phone
- (270) 936-8050
- Fax
- (270) 936-8584
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7664 | KY | Primary |
Addresses
Primary practice location
1818 Wallace CT.
Suite 401
Bowling Green, KY 42103-2462
Mailing address
1818 Wallace CT.
Suite 401
Bowling Green, KY 42103-2462
Phone (270) 936-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7664 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Dental Care of Kentucky - Mathew Cliburn DMD, PSC | Dentist | 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.
-
- Dentist
- Bowling Green, KY
- NPI 1073677035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1316012941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 WALLACE CT.",
"address_2": "SUITE 401",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421032462",
"telephone_number": "270-936-8050",
"fax_number": "270-936-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 WALLACE CT.",
"address_2": "SUITE 401",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421032462",
"telephone_number": "270-936-8050",
"fax_number": "270-936-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "KEVIN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "7664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.