Organization Active NPI

Ohio County Family Dentistry PLLC

  • General Practice Dentistry
  • Beaver Dam, KY
National Provider Identifier
1720444532
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4281 Issued in KY
Legal business name
OHIO COUNTY FAMILY DENTISTRY PLLC
Practice address
1221 N Main St
Beaver Dam, KY 42320-8955
Phone
(270) 274-3379
Fax
(270) 274-4600
NPI assigned
Jan 8, 2016
Last updated
Jan 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Karen Denise Stevens
Title
Office Manager
Phone
(270) 256-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4281 KY Primary

Addresses

Primary practice location

1221 N Main St
Beaver Dam, KY 42320-8955

Mailing address

1221 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-3379

National Provider Directory

National Provider Directory

Locations

1221 N Main St
Beaver Dam, KY 42320
Phone (270) 256-5911

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1720444532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-3379",
            "fax_number": "270-274-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-3379",
            "fax_number": "270-274-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO COUNTY FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-256-5757"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.