Organization Active NPI

Connelley and Higgins DMD

  • General Practice Dentistry
  • Salyersville, KY
National Provider Identifier
1497029722
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5078 Issued in KY
Legal business name
CONNELLEY AND HIGGINS DMD
Practice address
761 Parkway Drive
Salyersville, KY 41465-9740
Phone
(606) 349-5125
Fax
(606) 349-5317
NPI assigned
Mar 5, 2012
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Richard L Connelley, DMD
Title
Partner
Phone
(606) 349-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5078 KY Primary

Addresses

Primary practice location

761 Parkway Drive
Salyersville, KY 41465-9740

Mailing address

PO Box 69
Salyersville, KY 41465-0069
Phone (606) 349-5125

Other identifiers 1

IdentifierTypeStateIssuer
60050788MedicaidKY

National Provider Directory

National Provider Directory

Locations

862 Parkway Dr
Salyersville, KY 41465
Phone (606) 349-5125

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1497029722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414650069",
            "telephone_number": "606-349-5125",
            "fax_number": "606-349-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 PARKWAY DRIVE",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659740",
            "telephone_number": "606-349-5125",
            "fax_number": "606-349-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNELLEY AND HIGGINS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "CONNELLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "606-349-5125",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60050788",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salyersville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.