Active NPI
Eric T Demann, DMD
- General Practice Dentistry
- Lexington, KY
National Provider Identifier
1427140490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7610
- Practice address
- 800 Rose St
Lexington, KY 40536-0297 - Phone
- (859) 323-5562
- Fax
- (859) 323-2036
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040323000011 | KY | Practitioner - Oral Surgery | 7618868373 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| University of Kentucky | General Practice | Current | Accepting new patients |
Locations
217 Elm Tree Ln
Lexington, KY 40507
Phone (859) 257-8801
770 Rose St
Lexington, KY 40536
Phone (859) 323-3368
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
800 Rose St
#D104
Lexington, KY 40536
Phone (859) 323-3368
Interoperability endpoints
- edemann26658@ukhcdirect.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7610 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
800 Rose St
Lexington, KY 40536-0297
Mailing address
800 Rose St
D104
Lexington, KY 40536-0297
Phone (859) 323-5562
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60001948 | Medicaid | KY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2010.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1427140490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"address_2": "D104",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360297",
"telephone_number": "859-323-5562",
"fax_number": "859-323-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360297",
"telephone_number": "859-323-5562",
"fax_number": "859-323-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMANN",
"first_name": "ERIC",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60001948",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.