Individual provider Active NPI

Eric T Demann, DMD

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1427140490
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7610 Issued in KY
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000011 KY Practitioner - Oral Surgery 7618868373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Mar 25, 2014 Accepting new patients
University of Kentucky General Practice CurrentSince Mar 25, 2014 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

  • Direct secure messaging: edemann26658@ukhcdirect.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7610 KY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
60001948MedicaidKY

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

Verify at the official NPI Registry.