NPIMap

Organization Active NPI

Thomas R. Vivian DMD PLLC

  • Dentist
  • Prospect, KY
National Provider Identifier
1649598921
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8638 Issued in KY
Legal business name
THOMAS R. VIVIAN DMD PLLC
Practice address
10515 Meeting St
104
Prospect, KY 40059-6523
Phone
(502) 420-2480
Fax
(502) 420-2891
NPI assigned
May 11, 2010
Last updated
May 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Thomas Vivian, DMD
Title
Dr/Owner
Phone
(502) 420-2480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8638 KY Primary

Addresses

Primary practice location

10515 Meeting St
104
Prospect, KY 40059-6523

Mailing address

10515 Meeting St
104
Prospect, KY 40059-6523
Phone (502) 420-2480

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1649598921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 MEETING ST",
            "address_2": "104",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400596523",
            "telephone_number": "502-420-2480",
            "fax_number": "502-420-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 MEETING ST",
            "address_2": "104",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400596523",
            "telephone_number": "502-420-2480",
            "fax_number": "502-420-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. VIVIAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "VIVIAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "502-420-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.