Individual provider Active NPI

Stephen E Daniels, DMD

  • General Practice Dentistry
  • Lancaster, KY
National Provider Identifier
1659501732
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8744 Issued in KY
Practice address
1183 Stanford Rd
Lancaster, KY 40444-9567
Phone
(859) 792-4236
Fax
(859) 792-6033
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8744 KY Primary

Addresses

Primary practice location

1183 Stanford Rd
Lancaster, KY 40444-9567

Mailing address

1183 Stanford Rd
Lancaster, KY 40444-9567
Phone (859) 792-4236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130625000386 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082853916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dynamics LLC 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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1659501732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 STANFORD RD",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404449567",
            "telephone_number": "859-792-4236",
            "fax_number": "859-792-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 STANFORD RD",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404449567",
            "telephone_number": "859-792-4236",
            "fax_number": "859-792-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, KY

Sources for this page

Verify at the official NPI Registry.