Bluegrass Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BLUEGRASS PEDIATRIC DENTISTRY

Practice address

120 Meridian Way
Suite 2
Richmond, KY 40475

Phone

(859) 626-1810

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Lucas Bowen, D.M.D.

Title

Dentist

Phone

(859) 626-1810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1619284148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MERIDIAN WAY",
            "address_2": "SUITE # 2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "859-626-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MERIDIAN WAY",
            "address_2": "SUITE 2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "859-626-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-626-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Foot and Ankle Care, PLLC
• Bluegrass Hearing Clinic, LLC
• Bluegrass House Calls PLLC
• Bluegrass Long Term Care
• Bluegrass Medical & Public Transportation
• Bluegrass Pediatric Therapies, LLC
• Bluegrass Peds Dre LLC
• Bluegrass Surgical Assisting, PLLC
• Richard A Blum, MD
• Boardman Family Chiropractic PSC (Core Health Centers of Richmond)

• Pediatric Dentistry in Richmond, KY
• Providers in Richmond, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.