Individual provider Active NPI

Cynthia Begley Couch, DMD

  • General Practice Dentistry
  • London, KY
National Provider Identifier
1912046103
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8000 Issued in KY
Practice address
735 Meyers Baker Rd
London, KY 40741-3008
Phone
(606) 864-1441
Fax
(606) 864-1481
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8000 KY Primary
Dentist 122300000X 8000 KY

Addresses

Primary practice location

735 Meyers Baker Rd
London, KY 40741-3008

Mailing address

735 Meyers Baker Rd
London, KY 40741-3008
Phone (606) 864-1441

Other identifiers 2

IdentifierTypeStateIssuer
45002425MedicaidKY
60002532MedicaidKY

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
I20150611003142 KY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4981925278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8000KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dental Solutions General Practice Past Accepting new patients
Modern Dental Solutions Dre LLC Dentist PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1912046103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MEYERS BAKER RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413008",
            "telephone_number": "606-864-1441",
            "fax_number": "606-864-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MEYERS BAKER RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413008",
            "telephone_number": "606-864-1441",
            "fax_number": "606-864-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "CYNTHIA",
        "middle_name": "BEGLEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8000",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45002425",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002532",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.