Wellington Family Dentistry, PSC

Primary specialty

DentistTaxonomy code 122300000X

License

8489 Issued in KY

Legal business name

WELLINGTON FAMILY DENTISTRY, PSC

Practice address

535 Wellington Way Ste 130
Lexington, KY 40503-1385

Phone

(859) 552-4810

NPI assigned

Jun 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shaunna Ramsdale Johanneman, D.M.D

Title

Dentist

Phone

(859) 309-9765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1740441013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031387",
            "telephone_number": "859-309-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031385",
            "telephone_number": "859-552-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON FAMILY DENTISTRY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "JOHANNEMAN",
        "authorized_official_first_name": "SHAUNNA",
        "authorized_official_middle_name": "RAMSDALE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-309-9765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "8489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Welker, ARNP
• Well-Nourished Nutrition LLC
• Andrew Welleford, MD
• Ashlee Nicole Wellen
• Wellington Family Chiropractic LLC
• Wellington Provider Group of California PC
• Wellington Provider Group of Kansas PA
• Wellington Provider Group of New Jersey PC
• Wellington Provider Group PC
• Wellington Provider Group PC

• Dentist in Lexington, KY
• Providers in Lexington, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.