Organization Active NPI

Somerset Dental PLLC

  • General Practice Dentistry
  • Somerset, KY
National Provider Identifier
1720582661
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8614 Issued in KY
Legal business name
SOMERSET DENTAL PLLC
Practice address
125 Barnett St
Somerset, KY 42501-1263
Phone
(606) 679-1204
NPI assigned
Mar 23, 2018
Last updated
Mar 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Dr. Jonathan HardyNPI 1528224268
Title
Dentist
Phone
(606) 679-1204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8614 KY Primary

Addresses

Primary practice location

125 Barnett St
Somerset, KY 42501-1263

Mailing address

125 Barnett St
Somerset, KY 42501-1263
Phone (606) 679-1204

Other identifiers 1

IdentifierTypeStateIssuer
1528224268OtherKYNPI

National Provider Directory

National Provider Directory

Locations

125 Barnett St
Somerset, KY 42501
Phone (606) 679-1204

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": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1720582661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BARNETT ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011263",
            "telephone_number": "606-679-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BARNETT ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011263",
            "telephone_number": "606-679-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "606-679-1204",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528224268",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.