Matthew J Cliburn, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7641 Issued in KY

Practice address

2800 Palumbo Dr
Suite 101
Lexington, KY 40509-1309

Phone

(859) 263-1818

Fax

(859) 263-1819

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Health Professionals of Kentucky, P.S.C.

  • Dentist
  • Lexington, KY
  • NPI 1346303666
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790850477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PALUMBO DR",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091309",
            "telephone_number": "859-263-1818",
            "fax_number": "859-263-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PALUMBO DR",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091309",
            "telephone_number": "859-263-1818",
            "fax_number": "859-263-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIBURN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000585",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brayden Clevenger
• Leanne Clevenger, MD
• Nicole Clevinger, APRN
• Diana Clewett
• Gretchen B. Cliburn, PA-C
• Click Health Group, Inc.
• Allison Mays Click, M.D.
• Lindsey H Clickner, APRN
• Carrie L Clifford-Bennett, APRN, ANP-C, MSN, SA
• James D Clifford, M.D.

• Dentist in Lexington, KY
• Providers in Lexington, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.