Individual provider Active NPI

Hugo Enrique Sanchez Juan, DMD

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1538733944
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10604 Issued in KY
Practice address
1640 Nicholasville Rd Ste 103
Lexington, KY 40503-1493
Phone
(859) 278-0085
Fax
(844) 270-7010
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 10604 KY Primary

Addresses

Primary practice location

1640 Nicholasville Rd Ste 103
Lexington, KY 40503-1493

Mailing address

1640 Nicholasville Rd Ste 103
Lexington, KY 40503-1493
Phone (859) 278-0085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719002683 KY Order and Referring Only - DentistPractitioner - Dentist 4981064151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10604KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1538733944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 NICHOLASVILLE RD STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031493",
            "telephone_number": "859-278-0085",
            "fax_number": "844-270-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NICHOLASVILLE RD STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031493",
            "telephone_number": "859-278-0085",
            "fax_number": "844-270-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ JUAN",
        "first_name": "HUGO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.