NPIMap

Organization Active NPI

Keally Dentistry, PLLC

Doing business as Catron & Keally Dentistry

  • General Practice Dentistry
  • Winchester, KY
National Provider Identifier
1366952814
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEALLY DENTISTRY, PLLC
Doing business as
Catron & Keally Dentistry
Practice address
140 Hubbard Rd
Winchester, KY 40391-2412
Phone
(859) 744-0200
Fax
(859) 744-0220
NPI assigned
Oct 10, 2017
Last updated
Oct 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Dr. Carson P. Keally, DMDNPI 1003228602
Title
Agent
Phone
(859) 744-0200

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

140 Hubbard Rd
Winchester, KY 40391-2412

Mailing address

140 Hubbard Rd
Winchester, KY 40391-2412
Phone (859) 744-0200

Other names 1

  • Catron & Keally Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

140 Hubbard Rd
Winchester, KY 40391
Phone (859) 744-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1366952814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HUBBARD RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912412",
            "telephone_number": "859-744-0200",
            "fax_number": "859-744-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HUBBARD RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912412",
            "telephone_number": "859-744-0200",
            "fax_number": "859-744-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEALLY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "KEALLY",
        "authorized_official_first_name": "CARSON",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "859-744-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catron & Keally Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.