Micah D Donlon, DMD

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

10818 Issued in KY

Practice address

740 S Limestone Ste E214
Lexington, KY 40536-0001

Phone

(859) 323-5500

Fax

(859) 323-0001

NPI assigned

Jul 17, 2017

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• White Lavender

  • Orofacial Pain Dentistry
  • Louisville, KY
  • NPI 1285462663
  NPD Authorized official
• University of Kentucky

  dba UK College of Dentistry - Kentucky Clinic

  • Dentist
  • Lexington, KY
  • NPI 1730225129
  NPD
• Comprehensive Dentistry LLC

  • Dentist
  • Myrtle Beach, SC
  • NPI 1720131600
  NPD (past)
• South Coast Dental LLC

  dba Comprehensive Dentistry

  • Dentist
  • Myrtle Beach, SC
  • NPI 1477140226
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1881117356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE E214",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5500",
            "fax_number": "859-323-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4122 Shelbyville Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402073212",
            "country_code": "US",
            "telephone_number": "843-860-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONLON",
        "first_name": "MICAH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10818",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8976",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25572",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "KY",
            "license": "10818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Donaldson
• Ryan Patrick Donegan, MD
• Bei Dong
• Janna Marie Dongell, CRNA
• Lauren Donithan
• Amber Michelle Donnelly
• Jonathan Donson, MD
• Namrata Donthamsetti, O.D.
• Davanand C Doodnauth, MD
• Bridgett Dooley

• Orofacial Pain Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• Orofacial Pain Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.