Individual provider Active NPI

Austin F Way, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hebron, KY
National Provider Identifier
1568027209
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10258 Issued in KY
Practice address
2300 Conner Rd
Hebron, KY 41048-8165
Phone
(859) 586-4825
Fax
(859) 586-4817
NPI assigned
May 8, 2019
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10258 KY Primary

Addresses

Primary practice location

2300 Conner Rd
Hebron, KY 41048-8165

Mailing address

2300 Conner Rd
Hebron, KY 41048-8165
Phone (859) 586-4825

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
I20190820004111 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0143558742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10258KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Oral and Maxillofacial Surgery LLC PastSince Aug 3, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1568027209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CONNER RD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488165",
            "telephone_number": "859-586-4825",
            "fax_number": "859-586-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CONNER RD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488165",
            "telephone_number": "859-586-4825",
            "fax_number": "859-586-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "AUSTIN",
        "middle_name": "F",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "10258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, KY

Sources for this page

Verify at the official NPI Registry.