NPIMap

Organization Active NPI

Dental Care of Kentucky, P.S.C.

  • Dentist
  • Lexington, KY
National Provider Identifier
1982768974
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL CARE OF KENTUCKY, P.S.C.
Doing business as
South Farm Family Dentistry
Practice address
4097 Nichols Park Dr
Suite 112
Lexington, KY 40503-4428
Phone
(859) 971-9238
Fax
(859) 971-9274
NPI assigned
Dec 21, 2006
Organization subpart
Yes
Parent organization
DENTAL CARE OF KENTUCKY, P.S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Pam Hardiek
Title
Ins Cood
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4097 Nichols Park Dr
Suite 112
Lexington, KY 40503-4428

Mailing address

4097 Nichols Park Dr
Suite 112
Lexington, KY 40503-4428
Phone (859) 971-9238

Other names 1

  • South Farm Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Care of Kentucky PSC3 organizations share this tax ID, including this one
Part of
Dental Care of Kentucky PSC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4097 Nichols Park Dr
Ste 112
Lexington, KY 40503
Phone (859) 971-9238

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1982768974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 NICHOLS PARK DR",
            "address_2": "SUITE 112",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405034428",
            "telephone_number": "859-971-9238",
            "fax_number": "859-971-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 NICHOLS PARK DR",
            "address_2": "SUITE 112",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405034428",
            "telephone_number": "859-971-9238",
            "fax_number": "859-971-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF KENTUCKY, P.S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL CARE OF KENTUCKY, P.S.C.",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "HARDIEK",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Farm Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.