NPIMap

Organization Active NPI

Dental Wellness of Lexington

  • Dentist
  • Lexington, KY
National Provider Identifier
1992718340
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55800 Issued in KY
Legal business name
DENTAL WELLNESS OF LEXINGTON
Practice address
527 Wellington Way
Suite 120
Lexington, KY 40503
Phone
(859) 223-4644
Fax
(859) 224-8466
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Mrs. Mandy Wallin
Title
Office Manager
Phone
(859) 223-4644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 55800 KY Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8009 KY

Addresses

Primary practice location

527 Wellington Way
Suite 120
Lexington, KY 40503

Mailing address

527 Wellington Way
Suite 120
Lexington, KY 40503
Phone (859) 223-4644

Other identifiers 2

IdentifierTypeStateIssuer
000806082OtherUNITED CONCORDIA
333276OtherBCBS OF KY FEDERAL

National Provider Directory

National Provider Directory

Locations

527 Wellington Way
Ste 120
Lexington, KY 40503
Phone (859) 223-4644

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1992718340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 WELLINGTON WAY",
            "address_2": "SUITE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-223-4644",
            "fax_number": "859-224-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 WELLINGTON WAY",
            "address_2": "SUITE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-223-4644",
            "fax_number": "859-224-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WELLNESS OF LEXINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "859-223-4644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "55800",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "8009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000806082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KY FEDERAL",
            "identifier": "333276",
            "state": null
        }
    ],
    "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 May 9, 2018; 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.