Individual provider Active NPI

Kristy Pepper Lawson, DMD

  • Dentist
  • Lexington, KY
National Provider Identifier
1942400445
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8277 Issued in KY
Practice address
800 Rose Street, Room D104
Lexington, KY 40536-0297
Phone
(859) 323-5831
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8277 KY Primary

Addresses

Primary practice location

800 Rose Street, Room D104
Lexington, KY 40536-0297

Mailing address

800 Rose St
D104
Lexington, KY 40536-0297
Phone (859) 323-5831

Other identifiers 1

IdentifierTypeStateIssuer
7100022330MedicaidKY

Other names 1

  • Dr. Kristy A. Pepper Former name

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
I20100319000065 KY Practitioner - DentistPractitioner - Oral Surgery 3375678014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Dentist CurrentSince Feb 2, 2010 Accepting new patients
University of Kentucky CurrentSince Feb 2, 2010 Accepting new patients
University of Kentucky Dentist Past Accepting new patients

Locations

800 Rose St
#D104
Lexington, KY 40536
Phone (859) 323-3368

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Rm D104
Lexington, KY 40536
Phone (859) 323-5831

800 Rose St
Rm D
Lexington, KY 40536

Organizations & group practices 3

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1942400445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "D104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET, ROOM D104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "KRISTY",
        "middle_name": "PEPPER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100022330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "PEPPER",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.