Organization Active NPI

Mayfield Family Dentistry

  • Dentist
  • Mayfield, KY
National Provider Identifier
1851792295
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6905 Issued in KY
Legal business name
MAYFIELD FAMILY DENTISTRY
Practice address
315 S 6TH St
Mayfield, KY 42066-2309
Phone
(270) 247-2552
Fax
(270) 247-2514
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Taylor
Title
President
Phone
(270) 293-2415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6905 KY Primary

Addresses

Primary practice location

315 S 6TH St
Mayfield, KY 42066-2309

Mailing address

315 S 6TH St
Mayfield, KY 42066-2309
Phone (270) 247-2552

National Provider Directory

National Provider Directory

Locations

315 S 6th St
Mayfield, KY 42066
Phone (270) 247-2552

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1851792295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S 6TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662309",
            "telephone_number": "270-247-2552",
            "fax_number": "270-247-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S 6TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662309",
            "telephone_number": "270-247-2552",
            "fax_number": "270-247-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-293-2415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.