Andy Elliott DMD PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ANDY ELLIOTT DMD PSC

Practice address

196 Ky Hwy 3188
Langley, KY 41645

Phone

(606) 285-9317

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Olin Andrew Elliott II, DMD

Title

President

Phone

(606) 285-9317

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Olin Andrew Elliott II, DMD

  • Dentist
  • Martin, KY
  • NPI 1760528905
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1386220010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1381",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416491381",
            "telephone_number": "606-285-9317",
            "fax_number": "606-285-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 KY HWY 3188",
            "city": "LANGLEY",
            "state": "KY",
            "postal_code": "41645",
            "telephone_number": "606-285-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY ELLIOTT DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "OLIN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-285-9317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "docandy5@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "196 KY Hwy 3188",
            "city": "Langley",
            "state": "KY",
            "country_code": "US",
            "postal_code": "41645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Blevins, MS, OTR/L
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• Terrie A Harris, LPCC-S
• Stacie M Moore-Martin, DMD

• Dentist in Langley, KY
• Providers in Langley, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.