Elizabethtown Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ELIZABETHTOWN PEDIATRIC DENTISTRY

Practice address

103 Financial PL Ste 101
Elizabethtown, KY 42701-4470

Phone

(270) 600-7337

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Beenash Anwer, DMD, MSDNPI 1225484173

Title

Owner/ Provider

Phone

(270) 600-7337

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dentistry of Elizabethtown Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beenash Anwer, DMD

  • Pediatric Dentistry
  • Elizabethtown, KY
  • NPI 1225484173
  NPD Authorized official

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1659910792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FINANCIAL PL STE 101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014470",
            "telephone_number": "270-600-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FINANCIAL PL STE 101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014470",
            "telephone_number": "270-600-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETHTOWN PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "ANWER",
        "authorized_official_first_name": "BEENASH",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "270-600-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Elizabethtown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Elizabethtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabethtown Ind. School System
• Elizabethtown Opco LLC
• Elizabethtown Partners in Counseling
• Elizabethtown Partners in Counseling Inc
• Elizabethtown Partners in Counseling Inc
• Elizabethtown Physicians for Women,PSC
• Elizabethtown Radiology, P.S.C.
• Elizabethtown Rheumatology PSC
• Laine B. Elkin
• David Elliott, MD

• Pediatric Dentistry in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.