Active NPI
John J Culler III, DMD
- Dentist
- Lexington, KY
National Provider Identifier
1790744779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4743
- Practice address
- 540 East Main St
Lexington, KY 40508 - Phone
- (859) 253-2285
- Fax
- (859) 253-2286
- NPI assigned
- Mar 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4743 | KY | Primary |
Addresses
Primary practice location
540 East Main St
Lexington, KY 40508
Mailing address
540 East Main St
Lexington, KY 40508
Phone (859) 253-2285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000154482 | Other | KY | ANTHEM BCBS FED GOV |
| 641639 | Other | UNITED CONCORDIA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4743 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1790744779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 EAST MAIN ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40508",
"telephone_number": "859-253-2285",
"fax_number": "859-253-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 EAST MAIN ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40508",
"telephone_number": "859-253-2285",
"fax_number": "859-253-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLER",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "4743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS FED GOV",
"identifier": "000000154482",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "641639",
"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 Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.