Individual provider Active NPI

Wendy Humphrey Van Meter, DMD

  • Pediatric Dentistry
  • Lexington, KY
National Provider Identifier
1487780458
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7980 Issued in KY
Practice address
181 W Lowry LN
Suite 110
Lexington, KY 40503-3016
Phone
(859) 277-5437
Fax
(859) 277-8827
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7980 KY
Pediatric Dentistry 1223P0221X 7980 KY Primary

Addresses

Primary practice location

181 W Lowry LN
Suite 110
Lexington, KY 40503-3016

Mailing address

181 W Lowry LN
Suite 110
Lexington, KY 40503-3016
Phone (859) 277-5437

Other identifiers 1

IdentifierTypeStateIssuer
60002839MedicaidKY

Other names 1

  • Wendy K Humphrey Former name

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

LicenseStateTypeSpecialty
7980KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy K. Humphrey, DMD, PLLC Pediatric Dentistry 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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1487780458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W LOWRY LN",
            "address_2": "SUITE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033016",
            "telephone_number": "859-277-5437",
            "fax_number": "859-277-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W LOWRY LN",
            "address_2": "SUITE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033016",
            "telephone_number": "859-277-5437",
            "fax_number": "859-277-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN METER",
        "first_name": "WENDY",
        "middle_name": "HUMPHREY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7980",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "7980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002839",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "HUMPHREY",
            "middle_name": "K",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.