Active NPI
Kenneth J Smith, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Morehead, KY
National Provider Identifier
1487611406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 4300
- Practice address
- 709 W Main St
Morehead, KY 40351-1443 - Phone
- (606) 784-8983
- Fax
- (606) 784-4408
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4300 | KY | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 4300 | KY | Primary |
Addresses
Primary practice location
709 W Main St
Morehead, KY 40351-1443
Mailing address
504 Skaggs Rd
Morehead, KY 40351-8852
Phone (606) 784-7679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60043007 | Medicaid | KY | |
| 64043003 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4300 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth J Smith DDS PSC | Dentist | Past | Accepting new patients |
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": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487611406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 SKAGGS RD",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403518852",
"telephone_number": "606-784-7679",
"fax_number": "606-784-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511443",
"telephone_number": "606-784-8983",
"fax_number": "606-784-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KENNETH",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "KY",
"license": "4300",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "KY",
"license": "4300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60043007",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64043003",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.