Individual provider Active NPI

Karah Lee Ellen Brown, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lexington, KY
National Provider Identifier
1942705728
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10111 Issued in KY
Practice address
800 Rose Street, Room D-508
Lexington, KY 40536
Phone
(859) 257-2002
Fax
(859) 323-5858
NPI assigned
Mar 26, 2018
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 10111 KY Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 10111 KY

Addresses

Primary practice location

800 Rose Street, Room D-508
Lexington, KY 40536

Mailing address

800 Rose Street, Room D-508
Lexington, KY 40536-0293
Phone (859) 257-2002

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
I20240614001242 KY Practitioner - Dentist 5890039150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Kentucky College of Dentistry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25 E High St
Suite 1
Mt Sterling, KY 40353-1267
Phone (859) 498-6204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery & Implant Associates Oral and Maxillofacial Surgery CurrentSince Jul 1, 2024 Accepting new patients
Oral Surgery & Implant Associates Oral and Maxillofacial Surgery CurrentSince Jul 1, 2024 Accepting new patients
Gregory R. Erena, P.S.C. Oral and Maxillofacial Surgery PastSince Jul 1, 2024 Accepting new patients

Locations

25 E High St
Ste 1
Mt Sterling, KY 40353
Phone (859) 498-6204

1303 W Lexington Ave
Winchester, KY 40391
Phone (859) 744-0677

Interoperability endpoints

  • Direct secure messaging: kbrown21533@ukhcdirect.org

Organizations & group practices 4

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1942705728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET, ROOM D-508",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-257-2002",
            "fax_number": "859-323-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET, ROOM D-508",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-257-2002",
            "fax_number": "859-323-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KARAH",
        "middle_name": "LEE ELLEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "10111",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "10111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.