Active NPI
Amy Kathryn Luley, DMD
- Pediatric Dentistry
- Lexington, KY
National Provider Identifier
1962765297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- LDR120012
- Practice address
- 2517 Sir Barton Way Ste 200
Lexington, KY 40509-2275 - Phone
- (859) 543-2456
- NPI assigned
- Jun 21, 2012
- Last updated
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | LDR120012 | IN | Primary |
Addresses
Primary practice location
2517 Sir Barton Way Ste 200
Lexington, KY 40509-2275
Mailing address
2517 Sir Barton Way Ste 200
Lexington, KY 40509-2275
Phone (859) 543-2456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDR120012 | IN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1962765297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 SIR BARTON WAY STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092275",
"telephone_number": "859-543-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 SIR BARTON WAY STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092275",
"telephone_number": "859-543-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LULEY",
"first_name": "AMY",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "LDR120012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.