Organization Active NPI

Park Hills Family Dentistry Inc

  • Dental Clinic/Center
  • Lexington, KY
National Provider Identifier
1336320415
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5455 Issued in KY
Legal business name
PARK HILLS FAMILY DENTISTRY INC
Practice address
3140 Pimlico Pkwy Ste 105
Lexington, KY 40517-4007
Phone
(859) 273-5020
NPI assigned
Nov 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Authorized official

Name
Dr. Glenn SutherlandNPI 1821011602
Title
President
Phone
(859) 273-5020

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
Dental Clinic/Center 261QD0000X 5455 KY Primary

Addresses

Primary practice location

3140 Pimlico Pkwy Ste 105
Lexington, KY 40517-4007

Mailing address

3140 Pimlico Pkwy Ste 105
Lexington, KY 40517-4007

National Provider Directory

National Provider Directory

Locations

3140 Pimlico Pkwy
Ste 105
Lexington, KY 40517
Phone (859) 273-5020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195257600000",
    "number": "1336320415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 PIMLICO PKWY STE 105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 PIMLICO PKWY STE 105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174007",
            "telephone_number": "859-273-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HILLS FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-273-5020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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.