NPIMap

Organization Active NPI

Dental Care of Kentucky - Dr O Craig Shanteau, DDS, PSC

Doing business as Smiles Plus Dental Care - Burlington

  • Dentist
  • Burlington, KY
National Provider Identifier
1659435634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL CARE OF KENTUCKY - DR O CRAIG SHANTEAU, DDS, PSC
Doing business as
Smiles Plus Dental Care - Burlington
Practice address
1820 Florence Pike
Burlington, KY 41005-7933
Phone
(859) 586-4975
Fax
(859) 586-4869
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amy M Kroeger
Title
Ins Cood
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

1820 Florence Pike
Burlington, KY 41005-7933

Mailing address

1820 Florence Pike
Burlington, KY 41005-7933
Phone (859) 586-4975

Other names 1

  • Smiles Plus Dental Care - Burlington Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Care of Kentucky - Dr Ocraig Shanteau DDS PSC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1820 Florence Pike
Burlington, KY 41005
Phone (859) 586-4975

Practitioners & affiliated clinicians

Practitioners 2

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659435634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FLORENCE PIKE",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410057933",
            "telephone_number": "859-586-4975",
            "fax_number": "859-586-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FLORENCE PIKE",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410057933",
            "telephone_number": "859-586-4975",
            "fax_number": "859-586-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF KENTUCKY - DR O CRAIG SHANTEAU, DDS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Plus Dental Care - Burlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.