Active NPI
Maxie J. Combs, D.M.D.
- Dentist
- Lexington, KY
National Provider Identifier
1740563295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8009
- Practice address
- 527 Wellington Way
Suite 120
Lexington, KY 40503 - Phone
- (859) 223-4644
- Fax
- (859) 224-8466
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8009 | KY | Primary |
Addresses
Primary practice location
527 Wellington Way
Suite 120
Lexington, KY 40503
Mailing address
527 Wellington Way
Suite 120
Lexington, KY 40503
Phone (859) 223-4644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000806082 | Other | UNITED CONCORDIA-TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150514002332 | KY | Order and Referring Only - Dentist | 3274853205 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Wellness of Lexington | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lexington, KY
- NPI 1992718340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1740563295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 WELLINGTON WAY",
"address_2": "SUITE 120",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40503",
"telephone_number": "859-223-4644",
"fax_number": "859-224-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 WELLINGTON WAY",
"address_2": "SUITE 120",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40503",
"telephone_number": "859-223-4644",
"fax_number": "859-224-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "MAXIE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA-TRICARE",
"identifier": "000806082",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.