Active NPI
Gregory Martin Edens, D.M.D
- General Practice Dentistry
- Lexington, KY
National Provider Identifier
1366500035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7997
- Practice address
- 833 Lane Allen Rd
Lexington, KY 40504-3605 - Phone
- (859) 277-1189
- Fax
- (859) 276-2719
- NPI assigned
- Dec 5, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7997 | KY | Primary |
Addresses
Primary practice location
833 Lane Allen Rd
Lexington, KY 40504-3605
Mailing address
833 Lane Allen Rd
Lexington, KY 40504-3100
Phone (859) 277-1189
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 |
|---|---|---|---|
| 7997 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden Springs Dre, LLC | 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.
-
- Dental Clinic/Center
- Lexington, KY
- NPI 1386351146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1366500035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 LANE ALLEN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043100",
"telephone_number": "859-277-1189",
"fax_number": "859-276-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 LANE ALLEN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043605",
"telephone_number": "859-277-1189",
"fax_number": "859-276-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDENS",
"first_name": "GREGORY",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7997",
"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 Jan 15, 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.