Individual provider Active NPI

Victoria Paige Childers, D.M.D.

  • Pediatric Dentistry
  • Frankfort, KY
National Provider Identifier
1932550498
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9891 Issued in KY
Practice address
110 Diagnostic Dr
Frankfort, KY 40601-6557
Phone
(502) 223-7186
NPI assigned
Jun 27, 2016
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 9891 KY Primary

Addresses

Primary practice location

110 Diagnostic Dr
Frankfort, KY 40601-6557

Mailing address

740 S Limestone A219
Lexington, KY 40536-9314
Phone (859) 323-5294

Other practice location 1

130 Wayne Frye Dr
Manchester, OH 45144-9314
Phone (937) 549-1270

Other practice location 2

740 S Limestone
Lexington, KY 40536
Phone (859) 323-5294

Other names 1

  • Victoria Paige Chaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200713002049 TN Practitioner - Dentist 3274956313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9891KYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dandridge Pediatric Dentistry Pediatric Dentistry CurrentSince May 30, 2020 Accepting new patients

Locations

117 E Price Rd
Dandridge, TN 37725
Phone (865) 940-1280

Organizations & group practices 1

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1932550498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE A219",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405369314",
            "telephone_number": "859-323-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DIAGNOSTIC DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016557",
            "telephone_number": "502-223-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Wayne Frye Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "OH",
            "postal_code": "451449314",
            "country_code": "US",
            "telephone_number": "937-549-1270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 S Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40536",
            "country_code": "US",
            "telephone_number": "859-323-5294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "VICTORIA",
        "middle_name": "PAIGE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "9891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CHANEY",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.