Individual provider Active NPI

Tawnya L Muse, DMD

  • General Practice Dentistry
  • Somerset, KY
National Provider Identifier
1467794263
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6672 Issued in KY
Practice address
3810 S Highway 27 Ste 5
Somerset, KY 42501-3073
Phone
(606) 678-0978
Fax
(606) 678-9218
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 6672 KY Primary

Addresses

Primary practice location

3810 S Highway 27 Ste 5
Somerset, KY 42501-3073

Mailing address

3810 S Highway 27 Ste 5
Somerset, KY 42501-3073
Phone (606) 678-0978

Other identifiers 1

IdentifierTypeStateIssuer
60066727MedicaidKY

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
I20140310001676 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6103056312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tawnya L Muse DMD PSC General Practice CurrentSince Jun 1, 2021 Accepting new patients

Locations

3810 S Highway 27
Ste 5
Somerset, KY 42501
Phone (606) 678-0978

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1467794263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 S HIGHWAY 27 STE 5",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013073",
            "telephone_number": "606-678-0978",
            "fax_number": "606-678-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 S HIGHWAY 27 STE 5",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013073",
            "telephone_number": "606-678-0978",
            "fax_number": "606-678-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSE",
        "first_name": "TAWNYA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60066727",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.