Individual provider Active NPI

Virginia Cheryl Owen

  • General Practice Dentistry
  • Hardinsburg, KY
National Provider Identifier
1700870714
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6153 Issued in KY
Practice address
113 E 2ND St
Hardinsburg, KY 40143-2609
Phone
(270) 756-5792
Fax
(270) 756-5729
NPI assigned
Sep 6, 2005
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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 6153 KY Primary

Addresses

Primary practice location

113 E 2ND St
Hardinsburg, KY 40143-2609

Mailing address

PO Box 549
113 E. 2ND St
Hardinsburg, KY 40143-0549
Phone (270) 756-5792

Other identifiers 1

IdentifierTypeStateIssuer
60061538MedicaidKY

Other names 1

  • Mrs. Virginia Cheryl Poe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6153KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1700870714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "address_2": "113 E. 2ND ST",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401430549",
            "telephone_number": "270-756-5792",
            "fax_number": "270-756-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E 2ND ST",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401432609",
            "telephone_number": "270-756-5792",
            "fax_number": "270-756-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "VIRGINIA",
        "middle_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60061538",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "POE",
            "middle_name": "CHERYL",
            "prefix": "MRS.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hardinsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.