Emily Bausch Blevins, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9310 Issued in KY

Practice address

316 W 2ND St
Morehead, KY 40351-1550

Phone

(606) 783-7701

Fax

(606) 783-6847

NPI assigned

Jun 4, 2013

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Emily Bausch Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• University of Kentucky

  dba UK College of Dentistry

  • Dentist
  • Lexington, KY
  • NPI 1306929385

  General Practice

  NPD
• University of Kentucky

  dba UK College of Dentistry - Kentucky Clinic

  • Dentist
  • Lexington, KY
  • NPI 1730225129

  General Practice

  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1447698188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-783-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-783-7701",
            "fax_number": "606-783-6847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone Kentucky Clinic Second Floor",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405361550",
            "country_code": "US",
            "telephone_number": "859-323-3368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Highway 36",
            "address_purpose": "LOCATION",
            "city": "Frenchburg",
            "state": "KY",
            "postal_code": "403228123",
            "country_code": "US",
            "telephone_number": "606-768-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "EMILY",
        "middle_name": "BAUSCH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "9310",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100248160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BAUSCH",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabrielle Blackburn
• Shane Blackburn
• Keith Blankenbeckler
• Cynthia Jo Blankenship, CRNA
• Olivia Blatt
• Eleanor Blincoe, DMD
• Bluegrass Orthopaedics PSC
• Bluegrass Vision Group of Morehead PLLC
• Shane Blume
• Laurie Bobyack

• General Practice Dentistry in Morehead, KY
• Providers in Morehead, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.

Verify at the official NPI Registry.