Individual provider Active NPI

Lily Saman

  • Dentist
  • Frankfort, KY
National Provider Identifier
1669159851
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10992 Issued in KY
Practice address
101 Jett Blvd Ste 100
Frankfort, KY 40601-7778
Phone
(502) 871-3525
NPI assigned
Jun 29, 2023
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10992 KY Primary
General Practice Dentistry 1223G0001X 10992 KY

Addresses

Primary practice location

101 Jett Blvd Ste 100
Frankfort, KY 40601-7778

Mailing address

109 Windward Way
Nicholasville, KY 40356-8000
Phone (859) 684-1298

Other practice location 1

1355 Concrete Rd
Carlisle, KY 40311-9392
Phone (859) 405-4024

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
I20240122002767 KY Order and Referring Only - DentistPractitioner - Dentist 6305298795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10992KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions, Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1669159851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WINDWARD WAY",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568000",
            "telephone_number": "859-684-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JETT BLVD STE 100",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406017778",
            "telephone_number": "502-871-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Concrete Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "KY",
            "postal_code": "403119392",
            "country_code": "US",
            "telephone_number": "859-405-4024",
            "fax_number": "859-405-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAN",
        "first_name": "LILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10992",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.