Active NPI
Serenity Recovery Center
- Specialist
- Paris, KY
National Provider Identifier
1427456680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 42543
- Legal business name
- SERENITY RECOVERY CENTER
- Practice address
- 18 Clinic Dr
Paris, KY 40361-2161 - Phone
- (859) 987-6810
- Fax
- (859) 987-6812
- NPI assigned
- Dec 19, 2014
- 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
- Christopher Durham, M.D.
- Title
- Chief Medical Officer
- Phone
- (859) 987-6810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 42543 | KY | Primary |
Addresses
Primary practice location
18 Clinic Dr
Paris, KY 40361-2161
Mailing address
18 Clinic Dr
Paris, KY 40361-2161
Phone (859) 987-6810
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418947200000",
"number": "1427456680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CLINIC DR",
"city": "PARIS",
"state": "KY",
"postal_code": "403612161",
"telephone_number": "859-987-6810",
"fax_number": "859-987-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CLINIC DR",
"city": "PARIS",
"state": "KY",
"postal_code": "403612161",
"telephone_number": "859-987-6810",
"fax_number": "859-987-6812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-19",
"last_updated": "2014-12-19",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "859-987-6810",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "42543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.