Active NPI
David E Eccker, DMD
- Endodontics
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 10854
- Practice address
- 800 Rose St # D202
Lexington, KY 40536-7001 - Phone
- (859) 323-6525
- Fax
- (859) 257-8584
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10854 | KY | |
| Dentist | 122300000X | DD4907 | NM | |
| Endodontics | 1223E0200X | 10854 | KY | Primary |
Addresses
Primary practice location
800 Rose St # D202
Lexington, KY 40536-7001
Mailing address
7533 Thornwood Dr NW
Albuquerque, NM 87120-4551
Phone (619) 212-9541
Other practice location 1
333 San Mateo Blvd SE Unit A
Albuquerque, NM 87108-2919
Phone (505) 436-3432
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 |
|---|---|---|---|---|
| I20251027001775 | KY | Practitioner - Dentist | 2466941919 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Kentucky College of Dentistry, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 Waller Ave
Suite 209
Lexington, KY 40503-1035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD4907 | NM | MD | Dentist |
| 10854 | KY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Dentist | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients | |
| S.a.S.D PC Dba Desertview Dental Care | Dentist | Past | Accepting new patients |
Locations
800 Rose St
#D202
Lexington, KY 40536
Phone (859) 323-6525
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
770 Rose St
Lexington, KY 40536
Phone (859) 323-3368
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1770078313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7533 THORNWOOD DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204551",
"telephone_number": "619-212-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST # D202",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405367001",
"telephone_number": "859-323-6525",
"fax_number": "859-257-8584"
}
],
"practiceLocations": [
{
"address_1": "333 San Mateo Blvd SE Unit A",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871082919",
"country_code": "US",
"telephone_number": "505-436-3432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECCKER",
"first_name": "DAVID",
"middle_name": "E",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10854",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD4907",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KY",
"license": "10854",
"primary": true
}
],
"identifiers": [],
"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 Oct 21, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.