Dovard Thomas Porter Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4138 Issued in KY

Practice address

542 Noel Dr
Hopkinsville, KY 42240-1386

Phone

(270) 885-6137

Fax

(270) 885-2629

NPI assigned

Apr 26, 2007

Last updated

Oct 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kalleb a. Greene Family Dentistry

  • General Practice Dentistry
  • Hopkinsville, KY
  • NPI 1972024115
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1942420518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 NOEL DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401386",
            "telephone_number": "270-885-6137",
            "fax_number": "270-885-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 NOEL DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401386",
            "telephone_number": "270-885-6137",
            "fax_number": "270-885-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DOVARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Pigage, M.S. CCC/SLP
• Mollie S Pitura, APRN
• Kathy Latanya Poindexter, BS
• Christina Polete, APRN
• Ben Pommer
• Wesley G. Porter, DMD
• Iyeicha Potts
• Pound Family Chiropractic Inc
• Robert Joseph Pound, D.C.
• Benjamin Gary Powell

• General Practice Dentistry in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.