Individual provider Active NPI

David Burrell Guthrie III, D.M.D.

  • Anesthesiology Physician
  • Lexington, KY
National Provider Identifier
1396009338
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9322 Issued in KY
Practice address
910 Enterprise CT Unit A276
Lexington, KY 40510-1034
Phone
(614) 401-4415
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL11540 MA
Dental Anesthesiology 1223D0004X 9322 KY
Anesthesiology Physician 207L00000X 9322 KY Primary

Addresses

Primary practice location

910 Enterprise CT Unit A276
Lexington, KY 40510-1034

Mailing address

3001 Hayfield Dr
Louisville, KY 40205-2809
Phone (408) 314-4968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007001756 KY Order and Referring Only - DentistPractitioner - Dentist 1355639238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL11540MAMDDentist
9322KYMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Dental Anesthesia, LLC Dental Anesthesiology CurrentSince May 28, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1396009338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HAYFIELD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052809",
            "telephone_number": "408-314-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ENTERPRISE CT UNIT A276",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405101034",
            "telephone_number": "614-401-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "DAVID",
        "middle_name": "BURRELL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL11540",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "KY",
            "license": "9322",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "9322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.