Organization Active NPI

William G Fain Dre LLC

  • Dentist
  • Lexington, KY
National Provider Identifier
1699472084
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WILLIAM G FAIN DRE LLC
Practice address
620 Perimeter Dr Ste 206
Lexington, KY 40517-4125
Phone
(859) 269-5391
NPI assigned
Feb 15, 2023
Last updated
Feb 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Greg White
Title
DDS
Phone
(859) 533-1109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

620 Perimeter Dr Ste 206
Lexington, KY 40517-4125

Mailing address

620 Perimeter Dr Ste 206
Lexington, KY 40517-4125
Phone (859) 269-5391

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1699472084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PERIMETER DR STE 206",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174125",
            "telephone_number": "859-269-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PERIMETER DR STE 206",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174125",
            "telephone_number": "859-269-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G FAIN DRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "859-533-1109"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.