Active NPI
William R. Nunn D.D.S.
- Pediatric Dentistry
- Hopkinsville, KY
National Provider Identifier
1821214099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4414
- Legal business name
- WILLIAM R. NUNN D.D.S.
- Practice address
- 522 B Noel Ave
Hopkinsville, KY 42240 - Phone
- (270) 885-7146
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William R Nunn
- Title
- President
- Phone
- (270) 885-7146
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 4414 | KY | Primary |
Addresses
Primary practice location
522 B Noel Ave
Hopkinsville, KY 42240
Mailing address
316 Jonaquin Cir
Hopkinsville, KY 42240-4883
Phone (270) 885-7146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60044146 | Medicaid | KY | |
| 61900601 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
522B Noel Ave
Hopkinsville, KY 42240
Phone (270) 885-7146
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Hopkinsville, KY
- NPI 1346317500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821214099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 JONAQUIN CIR",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422404883",
"telephone_number": "270-885-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 B NOEL AVE",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "42240",
"telephone_number": "270-885-7146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM R. NUNN D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NUNN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-885-7146"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "4414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60044146",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61900601",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.