Active NPI
Douglas M. Neuman, DMD
- Periodontics
- Lexington, KY
National Provider Identifier
1457386021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 4136
- Practice address
- 540 E Main St
Lexington, KY 40508-2328 - Phone
- (859) 252-7726
- Fax
- (859) 252-7728
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4136 | KY | Primary |
Addresses
Primary practice location
540 E Main St
Lexington, KY 40508-2328
Mailing address
540 E Main St
Lexington, KY 40508-2328
Phone (859) 252-7726
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121031000289 | KY | Order and Referring Only - Oral Surgery | 5698921237 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457386021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 E MAIN ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082328",
"telephone_number": "859-252-7726",
"fax_number": "859-252-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 E MAIN ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082328",
"telephone_number": "859-252-7726",
"fax_number": "859-252-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMAN",
"first_name": "DOUGLAS",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "KY",
"license": "4136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- David Earl Nestor, PT
- Melissa Anne Nestor, PHARMD
- Renee Nettles
- Raven Lynne Zenobia Neu
- Amanda Sue Neugebauer, LPCC
- Elliot Douglas Neuman, D.M.D., M.S.
- Neuro & Spine Care Specialists PLLC
- Neurobehavioral Services, PSC
- Neurodiagnostics Inc. (Lexington Diagnostic Center)
- Neurodiagnostics Inc. (Health and Wellness Clinic at Lexington Diagnostic Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.