Active NPI
Douglas D. Damm, D.D.S.
- Oral and Maxillofacial Pathology Dentistry
- Lexington, KY
National Provider Identifier
1720184773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 4050
- Practice address
- 290 Big Run Rd
Lexington, KY 40503 - Phone
- (859) 278-9513
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 4050 | KY | Primary |
Addresses
Primary practice location
290 Big Run Rd
Lexington, KY 40503
Mailing address
290 Big Run Rd
Lexington, KY 40503-2903
Phone (859) 278-9513
Other practice location 1
800 Rose St
UK Oral Pathology Lab, UKMC Rm MN 530
Lexington, KY 40536-0297
Phone (859) 323-5515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5040 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1720184773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BIG RUN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032903",
"telephone_number": "859-278-9513",
"fax_number": "859-277-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 BIG RUN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40503",
"telephone_number": "859-278-9513"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_2": "UK Oral Pathology Lab, UKMC Rm MN 530",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360297",
"country_code": "US",
"telephone_number": "859-323-5515",
"fax_number": "859-323-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAMM",
"first_name": "DOUGLAS",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "KY",
"license": "4050",
"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 Jan 7, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.