Organization Active NPI

Laurel Dental Care

  • Dentist
  • London, KY
National Provider Identifier
1396974036
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6278 Issued in KY
Legal business name
LAUREL DENTAL CARE
Practice address
1303 S Laurel Rd
London, KY 40744-8304
Phone
(606) 877-2700
Fax
(606) 877-9190
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Barry V Bingham, DMD
Title
Owner
Phone
(606) 877-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6278 KY Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8211 KY

Addresses

Primary practice location

1303 S Laurel Rd
London, KY 40744-8304

Mailing address

1303 S Laurel Rd
London, KY 40744-8304
Phone (606) 877-2700

Other identifiers 1

IdentifierTypeStateIssuer
1841450905MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Laurel Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1303 S Laurel Rd
London, KY 40744
Phone (606) 877-2700

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1396974036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448304",
            "telephone_number": "606-877-2700",
            "fax_number": "606-877-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448304",
            "telephone_number": "606-877-2700",
            "fax_number": "606-877-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-877-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6278",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "8211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841450905",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.