Individual provider Active NPI

Monte Gayle McElfresh, D.M.D

  • Dentist
  • Butler, KY
National Provider Identifier
1982722161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4613 Issued in KY
Practice address
10178 Highway 27 North
Butler, KY 41006
Phone
(859) 472-3395
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4613 KY Primary

Addresses

Primary practice location

10178 Highway 27 North
Butler, KY 41006

Mailing address

PO Box 241
Butler, KY 41006
Phone (859) 472-3395

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
I20160211002698 KY Order and Referring Only - DentistPractitioner - Dentist 4082918081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982722161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "BUTLER",
            "state": "KY",
            "postal_code": "41006",
            "telephone_number": "859-472-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10178 HIGHWAY 27 NORTH",
            "city": "BUTLER",
            "state": "KY",
            "postal_code": "41006",
            "telephone_number": "859-472-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELFRESH",
        "first_name": "MONTE",
        "middle_name": "GAYLE",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "4613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, KY

Sources for this page

Verify at the official NPI Registry.