DR. KELLY GOODPASTER WARREN (NPI# 1104235233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104235233 |
| Entity Type | Individual |
| Full Name | DR. KELLY GOODPASTER WARREN |
| Credential | DMD |
| Practice Address |
535 Wellington Way Ste 120 Lexington KY 40503-1387 |
| Mailing Address |
416 Ridgeway Rd Lexington KY 40502-2344 |
| Practice Telephone | 8596301315 |
| Mailing Telephone | 8596301315 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10353 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760619639 | Kelly C Warren | Registered Nurse | 2000 Mckenzie St, Fort Worth, TX 76105-3053 | 2009-06-17 |
| 1306801071 | Kelly John Warren | Dermatology | 3920 Nw 49th St, Tamarac, FL 33309 | 2006-04-18 |
| 1760995450 | Kelly J Warren | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2017-11-16 |
| 1538680335 | Kelly Puz Warren | Counselor | 227 N Market St, Washington, NC 27889-4949 | 2017-06-30 |
| 1891105193 | Kelly Warren | Psychologist | 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, CA 90254-2714 | 2014-05-07 |
| 1326480948 | Kelly L Warren | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-07-24 |
| 1164767398 | Kelly H Warren | Nurse Practitioner | 10600 Industrial Dr, Minden, LA 71055-5105 | 2012-11-28 |
| 1396039657 | Kelly Ann Warren | Pharmacist | 1285 Som Center Rd, T-1324, Mayfield Heights, OH 44124-2073 | 2011-06-04 |
| 1528378650 | Kelly Warren | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2010-10-07 |
| 1093923856 | Kelly Dawn Warren | Social Worker | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-05-17 |
| Street Address |
535 WELLINGTON WAY STE 120 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-1387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628886 | Justice Dental Wellington | Clinic/Center | 535 Wellington Way Ste 120, Lexington, KY 40503-1387 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861339 | Lexington Dental Group LLC | Dentist | 35 Bedford St Ste 110, Lexington, MA 02420-4320 | 2020-11-06 |
| 1043823586 | Rachad Kudsi | Dentist | 800 Rose St Lexington Ky, Lexington, KY 40536-0001 | 2020-08-25 |
| 1730799933 | Fernanda Yanez Regonesi | Dentist | 740 S Limestone Second Floor Wing C Room E214, Lexington, KY 40536-0001 | 2020-08-03 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1174168538 | Dana Veis | Dentist | 3101 Richmond Rd Ste 307, Lexington, KY 40509-1526 | 2019-11-08 |
| 1548817711 | Leonard Mcelroy Brown, Jr., Dds, P.a. | Dentist | 29 Plaza Pkwy, Lexington, NC 27292-5359 | 2019-08-22 |
| 1881256766 | Walied Eldomiaty | Dentist | 800 Rose St Bldg 4, Lexington, KY 40536-4643 | 2019-07-01 |
| 1477112043 | Pratishtha Mishra | Dentist | Uk College of Dentistry 800 Rose Street, Lexington, KY 40536-0001 | 2019-06-07 |
| 1528627270 | Alexandra Leigh Coleman | Dentist | 2358 Nicholasville Rd Ste 155, Lexington, KY 40503-3041 | 2019-06-06 |
| 1689239691 | Shayla Wilson | Dentist | University of Kentucky 740 S Limestone, Lexington, KY 40536-0001 | 2019-05-06 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.