Kevin Oneal Roark, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7398 Issued in KY

Practice address

172 Parkway Plaza Loop
Whitesburg, KY 41858

Phone

(606) 633-4251

Fax

(606) 633-7166

NPI assigned

May 4, 2007

Last updated

Aug 19, 2016By 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

Other identifiers 1

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

Locations

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.

• Dr. Kevin Roark Family Dentistry, PSC

  • General Practice Dentistry
  • Whitesburg, KY
  • NPI 1619781515
  NPD Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1952513764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PARKWAY PLAZA LOOP",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-633-4251",
            "fax_number": "606-633-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 PARKWAY PLAZA LOOP",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-633-4251",
            "fax_number": "606-633-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "KEVIN",
        "middle_name": "ONEAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000668",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R D Buck MD PC
• Chalapathi G Rao, MD
• Todd A. Ratliff, D.M.D.
• Amber Leann Richardson, PT, DPT
• Lesley Danita Richardson, PHARM D
• Kristie Michelle Roark, RPH
• Sunil C. Roy, M.D.
• Ashley Sansom, APRN
• Ryan M Shephard, D.O.
• Katrina Nicole Shepherd-Whisenant, D.I.

• General Practice Dentistry in Whitesburg, KY
• Providers in Whitesburg, 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 Aug 19, 2016; 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.