Individual provider Active NPI

David E Eccker, DMD

  • Endodontics
  • Lexington, KY
National Provider Identifier
1770078313
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10854 Issued in KY
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

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DD4907NMMDDentist
10854KYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Dentist CurrentSince Sep 15, 2025 Accepting new patients
University of Kentucky CurrentSince Sep 15, 2025 Accepting new patients
University of Kentucky PastSince Nov 7, 2025 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.

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

Verify at the official NPI Registry.