Individual provider Active NPI

Alex McCreary Ward, DMD

  • Dentist
  • Lexington, KY
National Provider Identifier
1508435199
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-0006911-C1 Issued in AL
Practice address
740 South Limestone A219
Lexington, KY 40536-2960
Phone
(859) 323-3368
NPI assigned
Jun 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-0006911-C1 AL Primary

Addresses

Primary practice location

740 South Limestone A219
Lexington, KY 40536-2960

Mailing address

608 Sanford Rd
Andalusia, AL 36420-4126
Phone (334) 488-1056

Other practice location 1

1204 Ogletree Village Ln
Auburn, AL 36830-2960
Phone (334) 887-0099

Other identifiers 1

IdentifierTypeStateIssuer
10784OtherKYKENTUCKY BOARD OF DENTISTRY

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
D-0006911-C1ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1508435199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SANFORD RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204126",
            "telephone_number": "334-488-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 SOUTH LIMESTONE A219",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405362960",
            "telephone_number": "859-323-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Ogletree Village Ln",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368302960",
            "country_code": "US",
            "telephone_number": "334-887-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "ALEX",
        "middle_name": "MCCREARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-0006911-C1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF DENTISTRY",
            "identifier": "10784",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 2, 2022; 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.