Active NPI
Stephanie Louise Werner, D.D.S.
- Pediatric Dentistry
- Nicholasville, KY
National Provider Identifier
1801114061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8853
- Practice address
- 106 Fairfield Dr
Nicholasville, KY 40356-8842 - Phone
- (704) 880-5626
- NPI assigned
- May 12, 2010
- Last updated
- Jun 29, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8853 | KY | Primary |
Addresses
Primary practice location
106 Fairfield Dr
Nicholasville, KY 40356-8842
Mailing address
106 Fairfield Dr
Nicholasville, KY 40356-8842
Phone (704) 880-5626
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 |
|---|---|---|---|
| 8853 | KY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1801114061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FAIRFIELD DR",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568842",
"telephone_number": "704-880-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 FAIRFIELD DR",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568842",
"telephone_number": "704-880-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "STEPHANIE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "8853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.