Joseph S.Petrey PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8298 Issued in KY

Legal business name

JOSEPH S.PETREY PLLC

Doing business as

Petrey and Newcomb Orthodontics

Practice address

224 Langdon St
Somerset, KY 42501-2342

Phone

(606) 451-0771

Fax

(606) 451-0780

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Stanley Petrey, DMDNPI 1588838924

Title

Member /Manager

Phone

(606) 451-0771

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Petrey and Newcomb Orthodontics Doing business as

Locations

Practitioners 1

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

• Joseph Stanley Petrey, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Somerset, KY
  • NPI 1588838924
  NPD (past) Authorized official

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1891076683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012342",
            "telephone_number": "606-451-0771",
            "fax_number": "606-451-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012342",
            "telephone_number": "606-451-0771",
            "fax_number": "606-451-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH S.PETREY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "PETREY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "MEMBER /MANAGER",
        "authorized_official_telephone_number": "606-451-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "8298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588838924",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60039286",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100125620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petrey and Newcomb Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Sue Jones, PTA
• Mandy Jones, M.ED
• Megan Noelle Jones
• Nancy Ann Jones
• Stacy Jordan, OTR/L
• Julie Joseph-Fox, M.A.
• Dennis Jose Joseph
• Breanna G Judd
• Autumn Victoria Justice, DO
• Benjamin Thomas Kabel, CRNA

• Orthodontics and Dentofacial Orthopedics Dentistry in Somerset, KY
• Providers in Somerset, KY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.