Individual provider Active NPI

Renee Catherine Davis Kilty, DMD

  • Pediatric Dentistry
  • Danville, KY
National Provider Identifier
1326308990
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9049 Issued in KY
Practice address
1080 Ben Ali Drive Ste a
Danville, KY 40422-2547
Phone
(859) 236-6900
NPI assigned
May 16, 2012
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9049 KY
Pediatric Dentistry 1223P0221X 9049 KY Primary
Pediatric Dentistry 1223P0221X 953 KY

Addresses

Primary practice location

1080 Ben Ali Drive Ste a
Danville, KY 40422-2547

Mailing address

1080 Ben Ali Drive Ste a
Danville, KY 40422-2547
Phone (859) 236-6900

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

LicenseStateTypeSpecialty
953KYMDPediatric Dentist
9049KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1326308990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 BEN ALI DRIVE STE A",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222547",
            "telephone_number": "859-236-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 BEN ALI DRIVE STE A",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222547",
            "telephone_number": "859-236-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILTY",
        "first_name": "RENEE",
        "middle_name": "CATHERINE DAVIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9049",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "9049",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.