Individual provider Active NPI

Lauren Taylor Little, DMD

  • Pediatric Dentistry
  • Georgetown, KY
National Provider Identifier
1881269777
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10590 Issued in KY
Practice address
1508 Oxford Dr Ste 2
Georgetown, KY 40324-9266
Phone
(027) 350-2195
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 10590 KY
General Practice Dentistry 1223G0001X 10590 KY
Pediatric Dentistry 1223P0221X 10590 KY Primary

Addresses

Primary practice location

1508 Oxford Dr Ste 2
Georgetown, KY 40324-9266

Mailing address

2925 Combs Ferry Rd
Winchester, KY 40391-9769
Phone (606) 275-1339

Other identifiers 1

IdentifierTypeStateIssuer
10590OtherKYKENTUCKY BOARD OF DENTISTRY LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230629003533 KY Order and Referring Only - DentistPractitioner - Dentist 6507225141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1881269777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 COMBS FERRY RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919769",
            "telephone_number": "606-275-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 OXFORD DR STE 2",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249266",
            "telephone_number": "027-350-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "LAUREN",
        "middle_name": "TAYLOR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "10590",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10590",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "10590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF DENTISTRY LICENSE",
            "identifier": "10590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.