NPIMap

Organization Active NPI

University of Kentucky

Doing business as UK College of Dentistry - Kentucky Clinic

  • Dentist
  • Lexington, KY
National Provider Identifier
1730225129
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNIVERSITY OF KENTUCKY
Doing business as
UK College of Dentistry - Kentucky Clinic
Practice address
740 S Limestone St
Lexington, KY 40536-0284
Phone
(859) 257-3462
Fax
(859) 323-0066
NPI assigned
Jan 30, 2007
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Craig Collins
Title
Sr VP Health Affairs / Cfo
Phone
(859) 257-1773

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X
Dentist 122300000X Primary
General Practice Dentistry 1223G0001X
Oral and Maxillofacial Pathology Dentistry 1223P0106X
Pediatric Dentistry 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Physical Therapist 225100000X PT006370 KY
Oral Medicine Dentistry 125Q00000X
Orofacial Pain Dentistry 1223X2210X

Addresses

Primary practice location

740 S Limestone St
Lexington, KY 40536-0284

Mailing address

PO Box 931240
Cleveland, OH 44193-0004
Phone (859) 323-1345

Other identifiers 1

IdentifierTypeStateIssuer
61942801MedicaidKY

Other names 1

  • UK College of Dentistry - Kentucky Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000072 KY Part B Supplier - Clinic/Group Practice 3072425289 Receives reassigned benefits from 2,079 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20100930007777 KY DME Supplier - Oral Surgery - Dentist 3072425289 1 other NPI on this enrollment
Practice locations: Lexington, KY

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

800 Rose St
#D131
Lexington, KY 40536

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of KentuckyLexington, KY, CCN 180067 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Uk Good Samaritan Hospital Psychiatric UnitLexington, KY, CCN 18S067 Hospital Other (100%) Jan 1, 1966
Kings Daughters Medical CenterAshland, KY, CCN 180009 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2022
Eastern State HospitalLexington, KY, CCN 184004 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 10, 2013
Kings Daughters Medical Center - OhioPortsmouth, OH, CCN 360361 Hospital 5% Or Greater Indirect Ownership Interest (50%)
Operational/Managerial Control		 Dec 1, 2022
Dec 1, 2022
Kings Daughters Medical CenterAshland, KY, CCN 18T009 Hospital Other Dec 1, 2025
Kingsbrook Lifecare CenterAshland, KY, CCN 185449 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Indirect Ownership Interest		 Dec 1, 2022
Dec 1, 2022
Kings Daughters Medical Center Home HealthAshland, KY, CCN 187047 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2022
Kings Daughters Medical Center Jackson Family Care CenterJackson, OH, CCN 363853 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2022

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1730225129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931240",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930004",
            "telephone_number": "859-323-1345",
            "fax_number": "859-257-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-257-3462",
            "fax_number": "859-323-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "SR VP HEALTH AFFAIRS / CFO",
        "authorized_official_telephone_number": "859-257-1773"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT006370",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61942801",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UK College of Dentistry - Kentucky Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UK College of Dentistry - Kentucky Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.