CANDID KENTUCKY, PLLC (NPI# 1346857448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346857448 |
Entity Type | Organization |
Organization Name | CANDID KENTUCKY, PLLC |
Practice Address |
710 E Main St Lexington KY 40502-1668 |
Practice Telephone | 8604817631 |
Mailing Telephone | 8604817631 |
Enumeration Date | 2020-09-23 |
Last Update Date | 2020-09-23 |
Authorized Official Name | THOMAS SHANNON (DDS) |
Authorized Official Telephone | 8604817631 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
Street Address |
710 E MAIN ST |
City | LEXINGTON |
State | KY |
Zip Code | 40502-1668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144851262 | Valerie Phillips | Peer Specialist | 710 E Main St, Lexington, KY 40502-1668 | 2020-01-28 |
1083176465 | Amy Canter Thompson | Physical Therapist | 710 E Main St, Lexington, KY 40502-1668 | 2019-04-03 |
1255805222 | Logan James Humphrey | Physical Therapist | 710 E Main St, Lexington, KY 40502-1668 | 2019-01-14 |
1790147312 | Lynn Phillips | Home Health | 710 E Main St, Lexington, KY 40502-1602 | 2016-03-23 |
1558723189 | Tlt Phillips, LLC | Home Health | 710 E Main St, Lexington, KY 40502-1602 | 2016-03-23 |
1396162376 | J & J Associates, LLC | Community/Behavioral Health | 710 E Main St, Lexington, KY 40502-1602 | 2014-03-27 |
1619313772 | Carolyn Hofe | Nutritionist | 710 E Main St, Lexington, KY 40502-1602 | 2013-05-16 |
1801178066 | Chris D Turner | Physical Therapist | 710 E Main St, Lexington, KY 40502-1602 | 2011-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
Find all providers in zip 40502 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073012514 | Carli Loss | Dentist | 800 Rose St Dental Science Building, Lexington, KY 40536-7001 | 2018-02-11 |
1548778038 | Julie J Rambo | Dentist | 620 Perimeter Dr Ste 207, Lexington, KY 40517-4125 | 2018-01-18 |
1306201454 | Patricia Domings | Dentist | 39 Valleyfield St, Lexington, MA 02421-7949 | 2015-12-16 |
1639541600 | Samuel Purnell | Dentist | 4574 Sunset Blvd, B, Lexington, SC 29072-9250 | 2015-10-29 |
1710371372 | Lauren Delpont Morris | Dentist | 860 Corporate Dr Ste 201, Lexington, KY 40503-5427 | 2015-03-22 |
1720482177 | Lloyd Boggess | Dentist | 617 Delzan Pl, Lexington, KY 40503-3503 | 2014-10-14 |
1730457821 | Lisa A. Kochis, Psc | Dentist | 4071 Tates Creek Centre Dr Ste 306, Lexington, KY 40517-3065 | 2011-12-05 |
1457628299 | Lucy Lee Wachs | Dentist | 698 Perimeter Dr Ste 200, Lexington, KY 40517-4141 | 2011-11-22 |
1033402896 | Daniel Ryan Pennella | Dentist | 502 N Lake Dr, Lexington, SC 29072-2806 | 2011-05-25 |
1487895439 | Cheryl W Aldridge | Dentist | 1156 Appian Crossing Way, #102, Lexington, KY 40517-1062 | 2009-03-19 |
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.