Organization Active NPI

Elizabethtown Family Dentistry

  • Dental Clinic/Center
  • Elizabethtown, KY
National Provider Identifier
1730966300
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELIZABETHTOWN FAMILY DENTISTRY
Practice address
100 Robinbrooke Blvd
Elizabethtown, KY 42701-5972
Phone
(270) 735-1441
Fax
(270) 735-1485
NPI assigned
Sep 8, 2023
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Dr. Kathlyn Thompson, DMDNPI 1912231804
Title
Partner
Phone
(270) 735-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Robinbrooke Blvd
Elizabethtown, KY 42701-5972

Mailing address

100 Robinbrooke Blvd
Elizabethtown, KY 42701-5972
Phone (270) 735-1441

National Provider Directory

National Provider Directory

Locations

100 Robinbrooke Blvd
Elizabethtown, KY 42701
Phone (270) 735-1441

Practitioners & affiliated clinicians

Practitioners 3

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": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1730966300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROBINBROOKE BLVD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015972",
            "telephone_number": "270-735-1441",
            "fax_number": "270-735-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBINBROOKE BLVD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015972",
            "telephone_number": "270-735-1441",
            "fax_number": "270-735-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETHTOWN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KATHLYN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "270-735-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.