Organization Active NPI

Sonja L. Maggard, DMD, PSC

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1619014560
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6881 Issued in KY
Legal business name
SONJA L. MAGGARD, DMD, PSC
Practice address
121 Prosperous PL
Suite 12B
Lexington, KY 40509-1800
Phone
(859) 263-1888
Fax
(859) 263-1888
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Sonja L Maggard, DMDNPI 1689916215
Title
Owner
Phone
(859) 263-1888

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6881 KY Primary

Addresses

Primary practice location

121 Prosperous PL
Suite 12B
Lexington, KY 40509-1800

Mailing address

121 Prosperous PL
Suite 12B
Lexington, KY 40509-1800
Phone (859) 263-1888

National Provider Directory

National Provider Directory

Locations

121 Prosperous Pl
Ste 12B
Lexington, KY 40509
Phone (859) 263-1888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1619014560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PROSPEROUS PL",
            "address_2": "SUITE 12B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091800",
            "telephone_number": "859-263-1888",
            "fax_number": "859-263-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PROSPEROUS PL",
            "address_2": "SUITE 12B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091800",
            "telephone_number": "859-263-1888",
            "fax_number": "859-263-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONJA L. MAGGARD, DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MAGGARD",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-263-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6881",
            "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 19, 2013; 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.