Rita M Devore, DDS
Individual provider Active NPI General Practice Dentistry · Ft Knox, KY
NPI 1962460030 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1962460030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D3555 (ID)
- Practice address
- 2724 Brave Rifles Regiment Rd
Ft Knox, KY 40121 - Phone
- (502) 624-7313
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160322002732 | ID | Order and Referring Only - Dentist |
3072810803 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D3555 | ID | Yes |
Addresses
Primary practice location
2724 Brave Rifles Regiment Rd
Ft Knox, KY 40121
Mailing address
11205 Brook Bend CT
Louisville, KY 40229-2393
Phone (502) 962-3972
Other providers in Ft Knox, KY
- Vickie Davidson
- Peter Dedina
- William Frederick Dennis
- Nancy Diane Derosa
- Deiadre A Dery
- Renee L Dodge
- Momodoulamin S Drammeh
- Douglas M Dudewicz
- Lauri Lyn Duesler
- Travis Arron Dugan
All providers in Ft Knox, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.