Organization Active NPI

Rigdon Family Dental, Inc

  • Dentist
  • Morganfield, KY
National Provider Identifier
1982972055
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6889 Issued in KY
Legal business name
RIGDON FAMILY DENTAL, INC
Practice address
124 S Brady St
Morganfield, KY 42437-1504
Phone
(270) 389-2855
Fax
(270) 997-4856
NPI assigned
Dec 5, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nancy Elizabeth Rigdon, DMDNPI 1457416026
Title
Ceo
Phone
(270) 389-2855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

124 S Brady St
Morganfield, KY 42437
Phone (270) 389-2855

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6889 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

124 S Brady St
Morganfield, KY 42437-1504

Mailing address

124 S Brady St
Morganfield, KY 42437-1504
Phone (270) 389-2855

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
60068897MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2011.

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1982972055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S BRADY ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371504",
            "telephone_number": "270-389-2855",
            "fax_number": "270-997-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S BRADY ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371504",
            "telephone_number": "270-389-2855",
            "fax_number": "270-997-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGDON FAMILY DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "RIGDON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-389-2855",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60068897",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.