Kenneth Wayne Lose, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5243 Issued in KY

Practice address

29 Eury LN
Somerset, KY 42501-4115

Phone

(606) 678-8881

Fax

(606) 678-8881

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Associates in Dentistry, LLC

  • General Practice Dentistry
  • Somerset, KY
  • NPI 1285782029
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679582613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 EURY LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014115",
            "telephone_number": "606-678-8881",
            "fax_number": "606-678-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 EURY LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014115",
            "telephone_number": "606-678-8881",
            "fax_number": "606-678-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSE",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60052438",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Kaye Lloyd, PTA
• Jennifer Rene Lockard, OTR/L
• Jessica Lockard
• Alicia Ann Logsdon, PHARMD
• Timothy Allen Lonesky, D.O.
• Victoria Shy Lose
• Sue Ann Losey, ED. D, CCC SLP
• Lotus Rehab LLC
• Robert S Louallen
• Louisville 02, Inc.

• General Practice Dentistry in Somerset, KY
• Providers in Somerset, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.