NPIMap

Organization Active NPI

Freeman Dental PLLC

  • Dentist
  • Mayfield, KY
National Provider Identifier
1437535119
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9602 Issued in KY
Legal business name
FREEMAN DENTAL PLLC
Practice address
312 Wyatt Dr
Mayfield, KY 42066-6810
Phone
(270) 247-1966
Fax
(270) 247-5471
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Tyler McMurtry
Title
Office Manager
Phone
(270) 247-1966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9602 KY Primary

Addresses

Primary practice location

312 Wyatt Dr
Mayfield, KY 42066-6810

Mailing address

312 Wyatt Dr
Mayfield, KY 42066-6810
Phone (270) 247-1966

National Provider Directory

National Provider Directory

Locations

312 Wyatt Dr
Mayfield, KY 42066
Phone (270) 247-1966

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1437535119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WYATT DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420666810",
            "telephone_number": "270-247-1966",
            "fax_number": "270-247-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WYATT DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420666810",
            "telephone_number": "270-247-1966",
            "fax_number": "270-247-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "MCMURTRY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-247-1966"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.