Organization Active NPI

Al Pelphrey DMD PSC

  • Pediatric Dentistry
  • Pikeville, KY
National Provider Identifier
1760525604
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6229 Issued in KY
Legal business name
AL PELPHREY DMD PSC
Practice address
300 N Mayo TRL
Suite 1
Pikeville, KY 41501-1563
Phone
(606) 437-1461
NPI assigned
Feb 14, 2007
Last updated
Nov 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Al Pelphrey, DMDNPI 1730101056
Title
President
Phone
(606) 437-1461

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6229 KY
Pediatric Dentistry 1223P0221X 6229 KY Primary

Addresses

Primary practice location

300 N Mayo TRL
Suite 1
Pikeville, KY 41501-1563

Mailing address

300 N Mayo TRL
Suite 1
Pikeville, KY 41501-1563
Phone (606) 437-1461

National Provider Directory

National Provider Directory

Locations

300 N Mayo Trl
Ste 1
Pikeville, KY 41501
Phone (606) 437-1461

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1760525604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MAYO TRL",
            "address_2": "SUITE 1",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011563",
            "telephone_number": "606-437-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAYO TRL",
            "address_2": "SUITE 1",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011563",
            "telephone_number": "606-437-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL PELPHREY DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "PELPHREY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-437-1461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6229",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "6229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.