Mt Washington Family Dentistry Nita S Isgrigg DMD, PSC

Primary specialty

DentistTaxonomy code 122300000X

License

7359 Issued in KY

Legal business name

MT WASHINGTON FAMILY DENTISTRY NITA S ISGRIGG DMD, PSC

Practice address

110 Village LN
Mt Washington, KY 40047-7658

Phone

(502) 538-3434

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nita S IsgriggNPI 1154413342

Title

Owner

Phone

(502) 538-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nita Suzann Isgrigg, DMD

  • Dentist
  • Mt Washington, KY
  • NPI 1154413342
  NPD (past) Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1801081229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VILLAGE LN",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "40047",
            "telephone_number": "502-538-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VILLAGE LN",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477658",
            "telephone_number": "502-538-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT WASHINGTON FAMILY DENTISTRY NITA S ISGRIGG DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "ISGRIGG",
        "authorized_official_first_name": "NITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-538-3434"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60073590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew C Mitchell, DMD
• Mooney Eyecare Centre, PLLC (Mooney EyeCare Centre)
• Matthew Lutes Mooney, O.D.
• Sarah Mortensen, LCSW
• Mount Washington Health Care LLC (Green Meadows Health Care Center I)
• Mt Washington Family Practice PLLC
• Mt Washington Pediatrics PLLC
• Mt. Washington Fire Protection District EMS, Inc. (Mt. Washington Fire & EMS)
• Jaime B Mueller, MED, OTR/L
• Ryan Murphy, PHARM.D.

• Dentist in Mt Washington, KY
• Providers in Mt Washington, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.