Active NPI
Gina A Messer, DMD
- Dentist
- Barbourville, KY
National Provider Identifier
1609883032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7240
- Practice address
- 96 Ky 3439
Barbourville, KY 40906-7422 - Phone
- (606) 546-7633
- Fax
- (606) 546-2322
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7240 | KY | Primary |
| General Practice Dentistry | 1223G0001X | 7240 | KY |
Addresses
Primary practice location
96 Ky 3439
Barbourville, KY 40906-7422
Mailing address
PO Box 504
Barbourville, KY 40906-0504
Phone (606) 546-7633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60072402 | Medicaid | KY | |
| 45004215 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209001938 | KY | Order and Referring Only - Oral Surgery | 7810298270 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7240 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1609883032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409060504",
"telephone_number": "606-546-7633",
"fax_number": "606-546-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 KY 3439",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067422",
"telephone_number": "606-546-7633",
"fax_number": "606-546-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSER",
"first_name": "GINA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "7240",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7240",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60072402",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45004215",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.