Organization Active NPI

Hewlett Family Dental

  • Dentist
  • Shelbyville, KY
National Provider Identifier
1487479887
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEWLETT FAMILY DENTAL
Practice address
223 The Pointe Blvd
Shelbyville, KY 40065-7852
Phone
(502) 487-0293
Fax
(502) 633-7518
NPI assigned
Nov 20, 2024
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Dr. Mark Edward Hewlett, DMDNPI 1144208786
Title
Dentist
Phone
(502) 633-2229

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)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

223 The Pointe Blvd
Shelbyville, KY 40065-7852

Mailing address

223 The Pointe Blvd
Shelbyville, KY 40065-7852
Phone (502) 487-0293

Other identifiers 2

IdentifierTypeStateIssuer
16296212677OtherSTEPHEN T. HEWLETT
1952082927OtherNATALIE BOBAY

National Provider Directory

National Provider Directory

Locations

223 Midland Park
Shelbyville, KY 40065
Phone (502) 633-2229

223 The Pointe Blvd
Shelbyville, KY 40065
Phone (502) 487-0293

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1487479887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 THE POINTE BLVD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657852",
            "telephone_number": "502-487-0293",
            "fax_number": "502-633-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 THE POINTE BLVD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657852",
            "telephone_number": "502-487-0293",
            "fax_number": "502-633-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEWLETT FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "HEWLETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "502-633-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEPHEN T. HEWLETT",
            "identifier": "16296212677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATALIE BOBAY",
            "identifier": "1952082927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.