Individual provider Active NPI

Sierra Brooke Nunn, DMD

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1659903474
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10396 Issued in KY
Practice address
1093 Duval St
Lexington, KY 40515-6283
Phone
(859) 245-7127
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 10396 KY Primary

Addresses

Primary practice location

1093 Duval St
Lexington, KY 40515-6283

Mailing address

7069 Beamtree Dr
Shelbyville, KY 40065-6328
Phone (502) 718-4751

Other practice location 1

800 Rose St
D104
Lexington, KY 40536
Phone (859) 323-3368

Other practice location 2

1430 Poplar Level Rd
Louisville, KY 40217-1345
Phone (502) 636-0311

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
I20200608002992 KY Practitioner - Dentist 1456772979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Dentist CurrentSince May 15, 2020 Accepting new patients
Boyd Thornton Dre LLC Dentist CurrentSince Sep 20, 2022 Accepting new patients
University of Kentucky CurrentSince May 15, 2020 Accepting new patients
Mortenson Family Dental PastSince Feb 1, 2020 Accepting new patients

Locations

1093 Duval St
Lexington, KY 40515
Phone (859) 245-7127

800 Rose St
#D104
Lexington, KY 40536
Phone (859) 323-3368

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

Organizations & group practices 4

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1659903474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7069 BEAMTREE DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400656328",
            "telephone_number": "502-718-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 DUVAL ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156283",
            "telephone_number": "859-245-7127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_2": "D104",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40536",
            "country_code": "US",
            "telephone_number": "859-323-3368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Poplar Level Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171345",
            "country_code": "US",
            "telephone_number": "502-636-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNN",
        "first_name": "SIERRA",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.