NPIMap

Organization Active NPI

Beaumont Dental Associates, PLLC

  • Dentist
  • Lexington, KY
National Provider Identifier
1609140862
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8193 Issued in KY
Legal business name
BEAUMONT DENTAL ASSOCIATES, PLLC
Practice address
3181 Beaumont Centre Cir
Suite 114
Lexington, KY 40513-1836
Phone
(859) 223-0011
NPI assigned
Mar 5, 2012
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Christina H Park, DDS, MSNPI 1477888410
Title
Owner/Treasurer and Secretary
Phone
(859) 223-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8193 KY Primary

Addresses

Primary practice location

3181 Beaumont Centre Cir
Suite 114
Lexington, KY 40513-1836

Mailing address

3181 Beaumont Centre Cir
Suite 114
Lexington, KY 40513-1836
Phone (859) 223-0011

National Provider Directory

National Provider Directory

Locations

3181 Beaumont Centre Cir
Ste 114
Lexington, KY 40513
Phone (859) 223-0011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1609140862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 BEAUMONT CENTRE CIR",
            "address_2": "SUITE 114",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131836",
            "telephone_number": "859-223-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 BEAUMONT CENTRE CIR",
            "address_2": "SUITE 114",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131836",
            "telephone_number": "859-223-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/TREASURER AND SECRETARY",
        "authorized_official_telephone_number": "859-223-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.