Kentucky Lifetime Dental, P.S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENTUCKY LIFETIME DENTAL, P.S.C.

Practice address

2600 Nicholasville Rd Ste 120
Lexington, KY 40503-3492

Phone

(859) 309-1356

NPI assigned

Sep 23, 2021

Organization subpart

Yes

Parent organization

HEARTLAND DENTALAs reported in NPPES

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

Authorized official

Name

Tabatha Lemke

Title

Credentialing Coordinator

Phone

(217) 540-6078

Specialties & licenses 1

Addresses

Other names 1

• Smart Dental & Hygiene Express Doing business as

Part of

Kentucky Lifetime Dental PSC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Marie Bauers, DMD

  • General Practice Dentistry
  • Lexington, KY
  • NPI 1538846100
  NPD

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1801567482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NICHOLASVILLE RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NICHOLASVILLE RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033492",
            "telephone_number": "859-309-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY LIFETIME DENTAL, P.S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-6078"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Dental & Hygiene Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kentucky Institute for Eye Health & Surgery
• Kentucky Institute for Eye Health and Surgery
• Kentucky Internal Medicine Group
• Kentucky Kidney & Hypertension
• Kentucky Kids Therapy PLLC
• Kentucky Massage & Bodywork
• Kentucky Medical Center, PSC
• Kentucky Medical Consultants of the Bluegrass, LLC
• Kentucky Medical Services
• Kentucky Medical Services Foundation

• General Practice Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.