Individual provider Active NPI

Bradley Gaines Huey, DMD

  • General Practice Dentistry
  • Walton, KY
National Provider Identifier
1679613467
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6459 Issued in KY
Practice address
75 North Main Street
Walton, KY 41094
Phone
(859) 485-4095
Fax
(859) 485-4149
NPI assigned
Feb 8, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 6459 KY Primary

Addresses

Primary practice location

75 North Main Street
Walton, KY 41094

Mailing address

75 North Main Street
Walton, KY 41094
Phone (859) 485-4095

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
I20160414001957 KY Order and Referring Only - DentistPractitioner - Dentist 3375841968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6459KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Huey Dental Associates General Practice 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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679613467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NORTH MAIN STREET",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "41094",
            "telephone_number": "859-485-4095",
            "fax_number": "859-485-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NORTH MAIN STREET",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "41094",
            "telephone_number": "859-485-4095",
            "fax_number": "859-485-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEY",
        "first_name": "BRADLEY",
        "middle_name": "GAINES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, KY

Sources for this page

Verify at the official NPI Registry.