Active NPI
Kenneth B Chance, DDS
- Endodontics
- Lexington, KY
National Provider Identifier
1760582001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7697
- Practice address
- 800 Rose St
Lexington, KY 40536-0297 - Phone
- (859) 323-5831
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 7697 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-0297
Mailing address
800 Rose St
D104
Lexington, KY 40536-0297
Phone (859) 323-5831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60000643 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1760582001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"address_2": "D104",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360297",
"telephone_number": "859-323-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360297",
"telephone_number": "859-323-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANCE",
"first_name": "KENNETH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KY",
"license": "7697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60000643",
"state": "KY"
}
],
"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 Jul 31, 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.