Active NPI
John D. O'Cull Dentistry P.S.C.
- Dentist
- Vanceburg, KY
National Provider Identifier
1568651016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5556
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61900619 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- John DO'Cull Dentistry PSC
- 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.
-
- Dental Clinic/Center
- Vanceburg, KY
- NPI 1962696187
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.
-
- Dental Clinic/Center
- Vanceburg, KY
- NPI 1962696187
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.