Individual provider Active NPI

Michael Clark Pratt, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Morehead, KY
National Provider Identifier
1811147788
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8462 Issued in KY
Practice address
1287 Hallwood Dr
Morehead, KY 40351-7370
Phone
(606) 784-6616
NPI assigned
Sep 26, 2008
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8462 KY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8462 KY Primary

Addresses

Primary practice location

1287 Hallwood Dr
Morehead, KY 40351-7370

Mailing address

244 Redwing Dr
Winchester, KY 40391-2928
Phone (859) 338-8232

Other practice location 1

800 Rose Street
D-406 Chandler Medical Center
Lexington, KY 40536-0297
Phone (859) 323-5371

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8462KYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Buchart & Pratt Orthodontics Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1811147788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 REDWING DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912928",
            "telephone_number": "859-338-8232",
            "fax_number": "859-402-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 HALLWOOD DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403517370",
            "telephone_number": "606-784-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose Street",
            "address_2": "D-406 Chandler Medical Center",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360297",
            "country_code": "US",
            "telephone_number": "859-323-5371",
            "fax_number": "859-257-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MICHAEL",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8462",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "8462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.