Active NPI
Knox Family Dentistry, P.S.C.
- General Practice Dentistry
- Barbourville, KY
National Provider Identifier
1467598912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7384
- Legal business name
- KNOX FAMILY DENTISTRY, P.S.C.
- Practice address
- 608 Knox St
Barbourville, KY 40906-1304 - Phone
- (606) 546-6711
- Fax
- (606) 546-2574
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent C. McDonald, D.M.D.
- Title
- President
- Phone
- (606) 546-6711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7384 | KY | Primary |
Addresses
Primary practice location
608 Knox St
Barbourville, KY 40906-1304
Mailing address
608 Knox St
Barbourville, KY 40906-1304
Phone (606) 546-6711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60073848 | Medicaid | KY | |
| 61900445 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
608 Knox St
Barbourville, KY 40906
Phone (606) 546-6711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Barbourville, KY
- NPI 1902970171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467598912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 KNOX ST",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061304",
"telephone_number": "606-546-6711",
"fax_number": "606-546-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 KNOX ST",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061304",
"telephone_number": "606-546-6711",
"fax_number": "606-546-2574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX FAMILY DENTISTRY, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-546-6711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60073848",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61900445",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.