Individual provider Active NPI

Matthew Nathaniel Gayheart, D.M.D. , M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lexington, KY
National Provider Identifier
1811216898
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8888 Issued in KY
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

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
991OtherKYOMS SPECIALTY LICENSE
7100186190MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113002744 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941502512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.