Active NPI
Holly Marie Pickrell, DMD
- General Practice Dentistry
- Owensboro, KY
National Provider Identifier
1497804751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6953
- Practice address
- 2817 Veach Road
Owensboro, KY 42303 - Phone
- (270) 684-2463
- Fax
- (270) 684-9449
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6953 | KY | Primary |
Addresses
Primary practice location
2817 Veach Road
Owensboro, KY 42303
Mailing address
2817 Veach Road
Owensboro, KY 42303
Phone (270) 684-2463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60000882 | 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 |
|---|---|---|---|
| 6953 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497804751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 VEACH ROAD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-684-2463",
"fax_number": "270-684-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 VEACH ROAD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-684-2463",
"fax_number": "270-684-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKRELL",
"first_name": "HOLLY",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "6953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60000882",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
- Physician Management Services of Western Kentucky, LLC
- Physicians Affiliated Care P.S.C. (Gastrointestinal Endoscopy Center of Owensboro)
- Physicians Affiliated Care, PSC (CarePointe Walkin Clinic)
- Physicians Clinical Laboratory
- Physicians Eye Center of Owensboro, PSC
- Casey Pierce, DPT
- Joe Bob Pierce Jr., L.M.F.T.
- Charity Pinkston, PHYSICAL THERAPIST
- Kevin Pinto, APRN
- Meredith L Pinto, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.