Active NPI
Andrew Benjamin Farmer, D.M.D.
- Pediatric Dentistry
- Hazard, KY
National Provider Identifier
1992026363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8883
- Practice address
- 305 Morton Blvd
Hazard, KY 41701-9418 - Phone
- (606) 436-5437
- NPI assigned
- Jun 18, 2010
- Last updated
- Aug 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8883 | KY | |
| Pediatric Dentistry | 1223P0221X | 8883 | KY | Primary |
Addresses
Primary practice location
305 Morton Blvd
Hazard, KY 41701-9418
Mailing address
PO Box 388
Hyden, KY 41749-0388
Phone (606) 275-4686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100200040 | Medicaid | KY |
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 |
|---|---|---|---|
| 8883 | KY | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Hazard, KY
- NPI 1144575671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1992026363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "HYDEN",
"state": "KY",
"postal_code": "417490388",
"telephone_number": "606-275-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MORTON BLVD",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019418",
"telephone_number": "606-436-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "ANDREW",
"middle_name": "BENJAMIN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8883",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "8883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100200040",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.