Central Kentucky Mobility

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

247648 Issued in KY

Legal business name

CENTRAL KENTUCKY MOBILITY

Practice address

1050 Enterprise Dr
Ste 125
Lexington, KY 40510-1016

Phone

(859) 255-3624

NPI assigned

Aug 28, 2006

Last updated

Sep 28, 2009By 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

David Preston, ATP

Title

President

Phone

(895) 255-3624

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Central Kentucky Mobility of Louisville, LLC

  • Customized Equipment (DME)
  • Louisville, KY
  • NPI 1730357419
  NPPES parent name

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1831207984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ENTERPRISE DR",
            "address_2": "STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405101014",
            "telephone_number": "859-255-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ENTERPRISE DR",
            "address_2": "STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405101016",
            "telephone_number": "859-255-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "895-255-3624",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "247648",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": "247648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45001658",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACETS",
            "identifier": "000000295533",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90005653",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Kentucky Eyecare and Wellness, LLC (Central Kentucky Eyecare)
• Central Kentucky Foot & Ankle PSC
• Central Kentucky Gastroenterology
• Central Kentucky High Risk Obstetrics, PLLC
• Central Kentucky Medical Group PSC
• Central Kentucky Pain Management, PLLC
• Central Kentucky Pain Professionals, PLLC
• Central Kentucky Radiology PLLC
• Central Kentucky Sedation PLLC
• Central Kentucky Surgery, PSC

• Customized Equipment (DME) in Lexington, KY
• Providers in Lexington, KY by specialty
• Customized Equipment (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.