Active NPI
Lora Diane Sitton, D.M.D.
- General Practice Dentistry
- Princeton, KY
National Provider Identifier
1629091087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7351
- Practice address
- 400 W Washington St
Princeton, KY 42445-1938 - Phone
- (270) 365-6174
- Fax
- (270) 365-6174
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7351 | KY | Primary |
| Dentist | 122300000X | 7351 | KY |
Addresses
Primary practice location
400 W Washington St
Princeton, KY 42445-1938
Mailing address
400 W Washington St
Princeton, KY 42445-1938
Phone (270) 365-6174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60073517 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7351 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1629091087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W WASHINGTON ST",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424451938",
"telephone_number": "270-365-6174",
"fax_number": "270-365-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W WASHINGTON ST",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424451938",
"telephone_number": "270-365-6174",
"fax_number": "270-365-6174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITTON",
"first_name": "LORA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7351",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "7351",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60073517",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.