Organization Active NPI

Dr. Gerald L. Fairchild, PSC

  • Dentist
  • Morehead, KY
National Provider Identifier
1396046942
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. GERALD L. FAIRCHILD, PSC
Practice address
276 Kroger Ctr
Morehead, KY 40351-8894
Phone
(606) 780-0375
Fax
(606) 784-1162
NPI assigned
Nov 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Gerald Fairchild, DMDNPI 1689750317
Title
Owner
Phone
(606) 780-0375

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

276 Kroger Ctr
Morehead, KY 40351-8894

Mailing address

276 Kroger Ctr
Morehead, KY 40351-8894
Phone (606) 780-0375

National Provider Directory

National Provider Directory

Locations

276 Kroger Ctr
Morehead, KY 40351
Phone (606) 780-0375

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": "1289692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1396046942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 KROGER CTR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518894",
            "telephone_number": "606-780-0375",
            "fax_number": "606-784-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 KROGER CTR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518894",
            "telephone_number": "606-780-0375",
            "fax_number": "606-784-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GERALD L. FAIRCHILD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-14",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-780-0375",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.