Dayspring Health Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

DAYSPRING HEALTH INC

Doing business as

Dayspring Dental

Practice address

640 W Highway 92 Ste 3
Williamsburg, KY 40769-1936

Phone

(606) 765-6080

Fax

(606) 549-2855

NPI assigned

Jan 18, 2019

Last updated

Sep 20, 2023By 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

John David Harris

Title

Credentialing

Phone

(423) 784-8492

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Dayspring Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dayspring Health Inc

  dba Dayspring Dental

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1871631804

  O20041105000715

  Same enrollment
• Dayspring Health, Inc.

  dba Dayspring Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1538867551

  O20041105000715

  Same enrollment

Tax ID family

Dayspring FHC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dayspring Health Inc

  • Family Medicine Physician
  • Jellico, TN
  • NPI 1770790065
  NPD tax ID

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.

• Robin Elaine Bonnell, D.M.D.

  • Dentist
  • Barbourville, KY
  • NPI 1518189679
  NPD
• Dillon Chandler Reed, DMD

  • General Practice Dentistry
  • Williamsburg, KY
  • NPI 1326530908
  NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1841764271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377620540",
            "telephone_number": "423-784-8492",
            "fax_number": "423-455-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W HIGHWAY 92 STE 3",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691936",
            "telephone_number": "606-765-6080",
            "fax_number": "606-549-2855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691238",
            "country_code": "US",
            "telephone_number": "606-765-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Sunset Trl",
            "address_purpose": "LOCATION",
            "city": "Jellico",
            "state": "TN",
            "postal_code": "377622343",
            "country_code": "US",
            "telephone_number": "606-765-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Main St",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691000",
            "country_code": "US",
            "telephone_number": "606-765-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAYSPRING HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "423-784-8492"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10107",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q055857",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000946",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100553680",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9042",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100191350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayspring Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dayspring Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cumberland Foot and Ankle Center
• Cumberland Mountain Behavioral Health
• Cumberland Mountain Behavioral Health
• David B Williams MD PSC
• Dayspring Auxiliary Services, LLC
• Dayspring Health Inc (Dayspring Dental)
• Dayspring Health, Inc. (Dayspring Regional Health Center)
• Thomas Doncaster, D.O.
• Veronica Maria Sanchez Dorton, DPT
• Brittany Sierra Dow

• Federally Qualified Health Center (FQHC) in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.