Organization Active NPI

John D. O'Cull Dentistry P.S.C.

  • Dentist
  • Vanceburg, KY
National Provider Identifier
1568651016
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5556 Issued in KY
Legal business name
JOHN D. O'CULL DENTISTRY P.S.C.
Practice address
Rural Route 3037
Vanceburg, KY 41179
Phone
(606) 796-3811
Fax
(606) 796-2221
NPI assigned
Oct 22, 2007
Organization subpart
Yes
Parent organization
JOHN D. O'CULL DENTISTRY P.S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. John D O'Cull, DMD
Title
Owner
Phone
(606) 796-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5556 KY Primary

Addresses

Primary practice location

Rural Route 3037
Vanceburg, KY 41179

Mailing address

PO Box 549
Vanceburg, KY 41179-0549
Phone (606) 796-3811

Other identifiers 1

IdentifierTypeStateIssuer
61900619MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
John DO'Cull Dentistry PSC2 organizations share this tax ID, including this one
Part of
John DO'Cull Dentistry PSC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1568651016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790549",
            "telephone_number": "606-796-3811",
            "fax_number": "606-796-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RURAL ROUTE 3037",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "41179",
            "telephone_number": "606-796-3811",
            "fax_number": "606-796-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. O'CULL DENTISTRY P.S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN D. O'CULL DENTISTRY P.S.C.",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "O'CULL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-796-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "5556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900619",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vanceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.