Individual provider Active NPI

Karlene Guasteferro, D.D.S.

  • General Practice Dentistry
  • Morehead, KY
National Provider Identifier
1952397358
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11501 Issued in KY
Practice address
316 W 2ND St
Morehead, KY 40351-1550
Phone
(606) 783-7701
Fax
(606) 784-3701
NPI assigned
Sep 22, 2005
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037109 PA
Dentist 122300000X DEN1001611 DC
Dentist 122300000X 2901021809 MI
Dentist 122300000X DS0000009935 TN
Dentist 122300000X 1001042 WI
Dentist 122300000X 043881 NY
Dentist 122300000X 3024695 OH
General Practice Dentistry 1223G0001X 11501 KY Primary
General Practice Dentistry 1223G0001X G1-0001395 DE

Addresses

Primary practice location

316 W 2ND St
Morehead, KY 40351-1550

Mailing address

316 W 2ND St
Morehead, KY 40351-1550
Phone (606) 783-7701

Other practice location 1

701 Broadway
Suite 130
Nashville, TN 37203-3944
Phone (800) 397-6247

Other identifiers 3

IdentifierTypeStateIssuer
01299669MedicaidNY
901101775MedicaidPA
Q04876MedicaidTN

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
I20240105002766 KY Practitioner - Dentist 6901257732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN1001611DCMDDentist
2901021809MIMDDentist
3024695OHMDDentist
DS037109PAMDDentist
DS0000009935TNMDDentist
1001042WIMDDentist
G1-0001395DEMDGeneral Practice Dentistry
11501KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
St. Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc General Practice CurrentSince Dec 22, 2023 Accepting new patients
St Claire Medical Center, Inc CurrentSince Dec 22, 2023 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients

Locations

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1952397358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-783-7701",
            "fax_number": "606-784-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-783-7701",
            "fax_number": "606-784-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Broadway",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372033944",
            "country_code": "US",
            "telephone_number": "800-397-6247",
            "fax_number": "800-881-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUASTEFERRO",
        "first_name": "KARLENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037109",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001611",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021809",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000009935",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001042",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043881",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "3024695",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "11501",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01299669",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901101775",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q04876",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.