KELLY WIECHART (NPI# 1144713983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144713983 |
| Entity Type | Individual |
| Full Name | KELLY WIECHART |
| Credential | DMD |
| Practice Address |
599 Freedom Park Dr Ste 100 Crestview Hills KY 41017 |
| Mailing Address |
2861 Kearney Creek Ln Lexington KY 40511-8688 |
| Practice Telephone | 8594260304 |
| Mailing Telephone | 4199969382 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10126 | KY | Dental Providers |
| Street Address |
599 FREEDOM PARK DR STE 100 |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| 1568982866 | Christopher Robertson Nyland | Student in an Organized Health Care Education/Training Program | 413 South Loop Rd, Edgewood, KY 41017 | 2017-06-27 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1851305643 | Pete J. Rauen D.m.d., Inc. | Dentist | 232 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2006-07-28 |
| 1093120529 | Laura Marie Doss | Dentist | 220 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2014-06-23 |
| 1497196323 | Katherine Marie Salmon | Dentist | 220 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2013-07-08 |
| 1396077145 | Pete J Rauen | Dentist | 232 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2010-02-04 |
| 1215070057 | David C Quast | Dentist | 320 Thomas More Pkwy, Crestview Hills, KY 41017-3410 | 2007-02-14 |
| 1386655330 | Kenneth Michael Palmer | Dentist | 340 Thomas More Pkwy, Suite 130, Crestview Hills, KY 41017-5100 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869878 | Miram Shaheen | Dentist | 600 Marshall St Unit 128, Louisville, KY 40202-3618 | 2020-10-19 |
| 1396351243 | Haaken Reed Magnuson | Dentist | 4600 Taylorsville Rd, Louisville, KY 40220-3530 | 2020-09-16 |
| 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 |
| 1629687181 | Joanna Higdon | Dentist | 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 | 2020-07-30 |
| 1184233702 | Amelia Beth Coleman | Dentist | 16005 Us-23 South, Catlettsburg, KY 41129 | 2020-07-29 |
| 1386253847 | Hannah Pope | Dentist | 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 | 2020-07-29 |
| 1144838764 | My Smile Dental Services, Pllc | Dentist | 5014b Preston Hwy, Louisville, KY 40213-2217 | 2020-07-20 |
| 1205462967 | Florence Smiles Dentistry, Pllc | Dentist | 9031 Hwy 42 West, Ste A, Union, KY 41091 | 2020-03-13 |
| 1164068722 | Kentucky On-site Dental Services LLC | Dentist | 307 Longview Park Pl, Louisville, KY 40245-6217 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.