Individual provider Active NPI

Donald P Max, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lexington, KY
National Provider Identifier
1902825003
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
7458 Issued in KY
Practice address
2533 Larkin Rd
Lexington, KY 40503-3278
Phone
(859) 278-9376
Fax
(859) 276-0260
NPI assigned
Jul 19, 2006
Last updated
Feb 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7458 KY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 7458 KY Primary

Addresses

Primary practice location

2533 Larkin Rd
Lexington, KY 40503-3278

Mailing address

2533 Larkin Rd
Ste 101
Lexington, KY 40503-3278
Phone (859) 278-9376

Other identifiers 2

IdentifierTypeStateIssuer
60074580MedicaidKY
64074586MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 4, 2016 through Oct 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Center for Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery Past Accepting new patients
Kentucky Center for Oral & Maxillofacial Surgery PSC Oral and Maxillofacial Surgery Past Accepting new patients
Kentucky Center for Oral & Maxillofacial Surgery PSC Oral and Maxillofacial Surgery Past Accepting new patients
Kentucky Center for Oral & Maxillofacial Surgery PSC Oral and Maxillofacial Surgery Past Accepting new patients
Kentucky Center for Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery Past Accepting new patients
Kentucky Center for Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1902825003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 LARKIN RD",
            "address_2": "STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033278",
            "telephone_number": "859-278-9376",
            "fax_number": "859-276-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 LARKIN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033278",
            "telephone_number": "859-278-9376",
            "fax_number": "859-276-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX",
        "first_name": "DONALD",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "7458",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "7458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60074580",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64074586",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.