Gerald L Fairchild, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7112 Issued in KY

Practice address

122 N Rice St
Louisa, KY 41230-1242

Phone

(606) 638-9006

Fax

(606) 638-0899

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

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.

• Dr. Gerald L. Fairchild, PSC

  • Dentist
  • Morehead, KY
  • NPI 1396046942
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1689750317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N RICE ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301242",
            "telephone_number": "606-638-0089",
            "fax_number": "606-638-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N RICE ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301242",
            "telephone_number": "606-638-9006",
            "fax_number": "606-638-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "GERALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60071123",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134596000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Wayne Evans, PSS
• James Darren Eversole
• Kristy Lynn Eversole
• Stephen Faehr
• Connie Fairchild
• Cassandra Falin
• Travis Falls
• Family Practice of Louisa, PLLC
• Christopher Ross Fangman
• Charity Fannin, LCSW

• General Practice Dentistry in Louisa, KY
• Providers in Louisa, 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 Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.