Active NPI
Laurel Dental Care
- Dentist
- London, KY
National Provider Identifier
1396974036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6278
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6278 | KY | Primary |
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841450905 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Laurel Dental Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- London, KY
- NPI 1841450905
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.