Kentucky River Dentistry, PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6144 Issued in KY

Legal business name

KENTUCKY RIVER DENTISTRY, PSC

Practice address

161 Richmond Rd
Irvine, KY 40336-7222

Phone

(606) 723-4112

Fax

(606) 723-5372

NPI assigned

Feb 15, 2007

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jane Jordan, D.M.D.

Title

Dentist

Phone

(606) 723-4112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa M Ford, DMD

  • General Practice Dentistry
  • Irvine, KY
  • NPI 1255478053
  NPD (past)
• Sara Asgari Kendall, DMD

  • General Practice Dentistry
  • Irvine, KY
  • NPI 1861786766
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1821131954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367222",
            "telephone_number": "606-723-4112",
            "fax_number": "606-723-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367222",
            "telephone_number": "606-723-4112",
            "fax_number": "606-723-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY RIVER DENTISTRY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "606-723-4112",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900221",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven E Kain, PHARMD
• Maher Kassis, M.D.
• Billie Jean Kelley, APRN
• Sara Asgari Kendall, DMD
• Kentucky One Health Medical Group, Inc. (KentuckyOne Health Primary Care Associates)
• Kentucky River Foothills Development Council, Inc. (Foothills Behavioral Health Clinic)
• Kentucky River Foothills Development Council, Inc. (Foothills Mobile Health Clinic)
• Anita J King, PHARMD
• Thomas E Kirby, PA-C
• Tina Knopp, DMD

• General Practice Dentistry in Irvine, KY
• Providers in Irvine, 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, 2013; 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.