Organization Active NPI

Modern Dental Solutions

  • General Practice Dentistry
  • London, KY
National Provider Identifier
1700145968
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
80000 Issued in KY
Legal business name
MODERN DENTAL SOLUTIONS
Practice address
735 Meyers Baker Rd
London, KY 40741-3008
Phone
(606) 864-1441
Fax
(606) 864-1481
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Cynthia Begley Couch, DMDNPI 1912046103
Title
Owner
Phone
(606) 864-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 80000 KY Primary

Addresses

Primary practice location

735 Meyers Baker Rd
London, KY 40741-3008

Mailing address

735 Meyers Baker Road
London, KY 40741
Phone (606) 864-1441

Other identifiers 2

IdentifierTypeStateIssuer
7100191350MedicaidKY
60002532MedicaidKY

National Provider Directory

National Provider Directory

Locations

735 Meyers Baker Rd
London, KY 40741
Phone (606) 864-1441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1700145968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MEYERS BAKER ROAD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-864-1441",
            "fax_number": "606-864-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MEYERS BAKER RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413008",
            "telephone_number": "606-864-1441",
            "fax_number": "606-864-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "BEGLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-864-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "80000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100191350",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002532",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.