Active NPI
Landmark Medical of Kentucky, PSC
- General Practice Physician
- Lexington, KY
National Provider Identifier
1649775586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LANDMARK MEDICAL OF KENTUCKY, PSC
- Practice address
- 113 Glenn PL Unit 100
Lexington, KY 40505-3518 - Phone
- (657) 400-5180
- NPI assigned
- Mar 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Dennus, MD
- Title
- Chief Medical Officer
- Phone
- (657) 400-5180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
113 Glenn PL Unit 100
Lexington, KY 40505-3518
Mailing address
7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152
Phone (657) 400-5180
National Provider Directory
National Provider DirectoryLocations
9390 Bunsen Pkwy
Louisville, KY 40220
Phone (833) 358-2278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1649775586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7755 CENTER AVE STE 630",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479152",
"telephone_number": "657-400-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 GLENN PL UNIT 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405053518",
"telephone_number": "657-400-5180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDMARK MEDICAL OF KENTUCKY, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-23",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "DENNUS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "657-400-5180",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.