Active NPI
Matthew Nathaniel Gayheart, D.M.D. , M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Lexington, KY
National Provider Identifier
1811216898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 8888
- Practice address
- 216 Fountain CT Ste 110
Lexington, KY 40509-2181 - Phone
- (859) 264-1898
- Fax
- (859) 685-0118
- NPI assigned
- May 31, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 8888 | KY | Primary |
Addresses
Primary practice location
216 Fountain CT Ste 110
Lexington, KY 40509-2181
Mailing address
3113 Glengarth Park
Lexington, KY 40509-8556
Phone (859) 661-0106
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 991 | Other | KY | OMS SPECIALTY LICENSE |
| 7100186190 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160113002744 | KY | Order and Referring Only - Oral Surgery | 0941502512 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins & Morrow PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Jenkins & Morrow PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Lexington, KY
- NPI 1245432798
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- London, KY
- NPI 1689962649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1811216898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 GLENGARTH PARK",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405098556",
"telephone_number": "859-661-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 FOUNTAIN CT STE 110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092181",
"telephone_number": "859-264-1898",
"fax_number": "859-685-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYHEART",
"first_name": "MATTHEW",
"middle_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "D.M.D. , M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-31",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "8888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMS SPECIALTY LICENSE",
"identifier": "991",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100186190",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.