Active NPI
Northern Ky Oral & Maxillofacial Surgery Associates
Doing business as No Ky Oral & Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Edgewood, KY
National Provider Identifier
1841387453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- NORTHERN KY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
- Doing business as
- No Ky Oral & Maxillofacial Surgery
- Practice address
- 20 Medical Village Dr
Suite 196
Edgewood, KY 41017-5401 - Phone
- (859) 331-2100
- Fax
- (859) 344-4841
- NPI assigned
- Oct 6, 2006
- 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
- Dr. Michael L Robinson, MD, DMD
- Title
- Owner
- Phone
- (859) 331-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
20 Medical Village Dr
Suite 196
Edgewood, KY 41017-5401
Mailing address
20 Medical Village Dr
Suite 196
Edgewood, KY 41017-5401
Phone (859) 331-2100
Other names 1
- No Ky Oral & Maxillofacial Surgery
National Provider Directory
National Provider DirectoryLocations
20 Medical Village Dr
Ste 196
Edgewood, KY 41017
Phone (859) 331-2100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Edgewood, KY
- NPI 1063509743
-
- Oral and Maxillofacial Surgery (Dentist)
- Edgewood, KY
- NPI 1932296639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841387453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR",
"address_2": "SUITE 196",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175401",
"telephone_number": "859-331-2100",
"fax_number": "859-344-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR",
"address_2": "SUITE 196",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175401",
"telephone_number": "859-331-2100",
"fax_number": "859-344-4841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN KY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-331-2100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "No Ky Oral & Maxillofacial Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edgewood, 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.