Albert Bathiany IV, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5180 SPECIALTY 370 Issued in KY

Practice address

7400 Hwy 42
Florence, KY 41042

Phone

(859) 525-2100

Fax

(859) 525-0656

NPI assigned

Nov 27, 2006

Last updated

Jun 24, 2016By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alex Mayes Young DMD PLLC

  dba Young Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Florence, KY
  • NPI 1033775374
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1467528257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 HWY 42",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-525-2100",
            "fax_number": "859-525-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 HWY 42",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-525-2100",
            "fax_number": "859-525-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHIANY",
        "first_name": "ALBERT",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "5180 SPECIALTY 370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60051802",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61941787",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamal Barrett, MD
• Jessica Renee Barron, INTERN LPC
• Matthew J Barth
• Lisa Bartlett, R.N.
• Basic Health Chiropractic and Rehab
• Jessica Baumann, MD
• Kirsten Compton Bausch, RPH
• Bawac, Inc.
• Amy Beal, LPC
• Jeffrey David Beane, REGISTERED NURSE

• Pediatric Dentistry in Florence, KY
• Providers in Florence, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.