Individual provider Active NPI

Steven Wayne Ledford Jr., DDS

  • Dentist
  • Ashland, KY
National Provider Identifier
1639518574
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
LDR130066 Issued in IN
Practice address
2301 Lexington Ave Ste 120
Ashland, KY 41101
Phone
(304) 399-1092
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LDR130066 IN Primary

Addresses

Primary practice location

2301 Lexington Ave Ste 120
Ashland, KY 41101

Mailing address

280 Silver Maple RDG Apt 2
Charleston, WV 25306-1122
Phone (423) 762-6770

Other practice location 1

7045 Chesterton Cir
Indianapolis, IN 46237-8305
Phone (423) 762-6770

Other practice location 2

1215 Virginia St E
Charleston, WV 25301-2908
Phone (304) 345-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130816000865 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092957241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1639518574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SILVER MAPLE RDG APT 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253061122",
            "telephone_number": "423-762-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE STE 120",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "304-399-1092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7045 Chesterton Cir",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462378305",
            "country_code": "US",
            "telephone_number": "423-762-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Virginia St E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253012908",
            "country_code": "US",
            "telephone_number": "304-345-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "LDR130066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.