Veterans Park Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

7878 Issued in KY

Legal business name

VETERANS PARK FAMILY DENTISTRY PLLC

Practice address

4384 Clearwater Way
Ste 110
Lexington, KY 40515-6337

Phone

(859) 272-0800

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Fallahzadeh Jenkins, DMD

Title

Dentist

Phone

(859) 272-0800

Specialties & licenses 1

Addresses

Other names 1

• nicole f. jenkins dmd Other name

Practitioners 1

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

• Nicole Fallahzadeh, DMD

  • Dentist
  • Lexington, KY
  • NPI 1609935220
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992871644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 BRENNEN DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156281",
            "telephone_number": "859-913-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 CLEARWATER WAY",
            "address_2": "STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156337",
            "telephone_number": "859-272-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS PARK FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "FALLAHZADEH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-272-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "7878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nicole f. jenkins dmd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Elizabeth Vernon, APRN
• Valerie Pascale Adeline Verty
• Janet Lee Vessels, LPCC
• Veterans Affairs Medical Center
• Veterans Park Dre PLLC
• Beverly A Vetter
• Sharon Schwendeman Vetter, DMD
• Anna Vetters, RBT
• VHC Recovery Services LLC
• Amy Vibbert, APRN

• Dentist in Lexington, KY
• Providers in Lexington, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.