Northern Kentucky Smiles

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7053 Issued in KY

Legal business name

NORTHERN KENTUCKY SMILES

Doing business as

NKY Orthodontics

Practice address

1481 Cavalry Drive
Suite 100
Florence, KY 41042

Phone

(859) 282-8844

Fax

(859) 283-8742

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeri L Stull, DMD,MS

Title

Orthodontist/Owner

Phone

(859) 282-8844

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• NKY Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1669903910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 CAVALRY DRIVE",
            "address_2": "SUITE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-282-8844",
            "fax_number": "859-283-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 CAVALRY DRIVE",
            "address_2": "SUITE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-282-8844",
            "fax_number": "859-283-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "859-282-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "7053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1275552408",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1104831759",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1124151048",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NKY Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern Kentucky Independent District Health Department
• Northern Kentucky Independent District Health Department
• Northern Kentucky Pain Relief Physical Medicine Center PSC
• Northern Kentucky Physiotherapy
• Northern Kentucky Primary Care PLLC
• Northern Ky Internal Medicine LLC
• Northern Ky Transportation LLC (Liberty Ride)
• Catherine Rena Northup, APRN
• Nova Care LLC
• Daniel Joseph Nowak

• Orthodontics and Dentofacial Orthopedics Dentistry in Florence, KY
• Providers in Florence, KY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.