Individual provider Active NPI

Nick Arnold England Jr., D.M.D.

  • General Practice Dentistry
  • South Williamson, KY
National Provider Identifier
1447520895
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4704 Issued in KY
Practice address
534 Central Ave
South Williamson, KY 41503-4123
Phone
(606) 237-4750
NPI assigned
Jan 3, 2012
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4704 KY Primary

Addresses

Primary practice location

534 Central Ave
South Williamson, KY 41503-4123

Mailing address

534 Central Ave
South Williamson, KY 41503-4123
Phone (606) 237-4750

Other identifiers 1

IdentifierTypeStateIssuer
60047040MedicaidKY

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
I20150626000749 KY Order and Referring Only - DentistPractitioner - Dentist 0547572935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nick a England Jr PSC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1447520895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CENTRAL AVE",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034123",
            "telephone_number": "606-237-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CENTRAL AVE",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034123",
            "telephone_number": "606-237-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLAND",
        "first_name": "NICK",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60047040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

Verify at the official NPI Registry.