Organization Active NPI

Nick a England Jr PSC

  • General Practice Dentistry
  • South Williamson, KY
National Provider Identifier
1881785996
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4704 Issued in KY
Legal business name
NICK A ENGLAND JR PSC
Practice address
534 Central Ave
South Williamson, KY 41503-4123
Phone
(606) 237-4750
NPI assigned
Sep 27, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Nick A England Jr., DMDNPI 1447520895
Title
Owner
Phone
(606) 237-4750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4704 KY Primary

Addresses

Primary practice location

534 Central Ave
South Williamson, KY 41503-4123

Mailing address

534 Central Ave
South Williamson, KY 41503-4123
Phone (606) 237-4750

Other identifiers 1

IdentifierTypeStateIssuer
60047040MedicaidKY

National Provider Directory

National Provider Directory

Locations

534 Central Ave
South Williamson, KY 41503
Phone (606) 237-4750

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1881785996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CENTRAL AVE",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034123",
            "telephone_number": "606-237-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CENTRAL AVE",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034123",
            "telephone_number": "606-237-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK A ENGLAND JR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-237-4750",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60047040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.