Active NPI
David A Lasheen, D.M.D.
- Dentist
- Versailles, KY
National Provider Identifier
1497893382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5790
- Practice address
- 360 Amsden Ave
Suite 400
Versailles, KY 40383-1851 - Phone
- (859) 873-5913
- Fax
- (859) 879-1027
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5790 | KY | Primary |
Addresses
Primary practice location
360 Amsden Ave
Suite 400
Versailles, KY 40383-1851
Mailing address
360 Amsden Ave
Suite 400
Versailles, KY 40383-1851
Phone (859) 873-5913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 821853 | Other | KY | UNITED CONCORDIA PROVIDER |
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 |
|---|---|---|---|
| 5790 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497893382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 AMSDEN AVE",
"address_2": "SUITE 400",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831851",
"telephone_number": "859-873-5913",
"fax_number": "859-879-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 AMSDEN AVE",
"address_2": "SUITE 400",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831851",
"telephone_number": "859-873-5913",
"fax_number": "859-879-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASHEEN",
"first_name": "DAVID",
"middle_name": "A",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "821853",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Versailles, KY
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.