Active NPI
Connelley and Higgins DMD
- General Practice Dentistry
- Salyersville, KY
National Provider Identifier
1497029722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5078
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60050788 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.