Individual provider Active NPI

Abby Lavelle Staffieri, DMD

  • General Practice Dentistry
  • Prospect, KY
National Provider Identifier
1518212356
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9183 Issued in KY
Practice address
13104 US Hwy 42
Prospect, KY 40059
Phone
(502) 228-0234
Fax
(502) 228-3127
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9183 KY Primary

Addresses

Primary practice location

13104 US Hwy 42
Prospect, KY 40059

Mailing address

13104 US Hwy 42
Prospect, KY 40059
Phone (502) 228-0234

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
9183KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1518212356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 US HWY 42",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "40059",
            "telephone_number": "502-228-0234",
            "fax_number": "502-228-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 US HWY 42",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "40059",
            "telephone_number": "502-228-0234",
            "fax_number": "502-228-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFIERI",
        "first_name": "ABBY",
        "middle_name": "LAVELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.