John Shea Lair, D.M.D., PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5687 Issued in KY

Legal business name

JOHN SHEA LAIR, D.M.D., PLLC

Practice address

603 Lancaster St
Stanford, KY 40484-1248

Phone

(606) 365-7803

Fax

(606) 365-1070

NPI assigned

Dec 21, 2011

Last updated

Dec 21, 2011By 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

Dr. John Shea Lair, DMDNPI 1457450454

Title

Dentist/Owner

Phone

(606) 365-7803

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.

• John Shea Lair, DMD

  • Dentist
  • Stanford, KY
  • NPI 1457450454
  NPD (past) Authorized official
• Andrew Wayne Cooper, DMD

  • Dentist
  • Stanford, KY
  • NPI 1942986658
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1821367756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 LANCASTER ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841248",
            "telephone_number": "606-365-7803",
            "fax_number": "606-365-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 LANCASTER ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841248",
            "telephone_number": "606-365-7803",
            "fax_number": "606-365-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SHEA LAIR, D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "LAIR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "606-365-7803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60056876",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Stanford, KY
• Providers in Stanford, 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 Dec 21, 2011; 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.