DR. KAITLIN JENNISON (NPI# 1699115055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699115055 |
| Entity Type | Individual |
| Full Name | DR. KAITLIN JENNISON |
| Credential | DDS |
| Practice Address |
1809 Alexandria Pike Highland Heights KY 41076-1155 |
| Practice Telephone | 8597811500 |
| Mailing Telephone | 8597811500 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9576 | KY | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30-024382 | OH | Dental Providers |
| Street Address |
1809 ALEXANDRIA PIKE |
| City | HIGHLAND HEIGHTS |
| State | KY |
| Zip Code | 41076-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700946241 | Mark D Farley | Dentist | 1809 Alexandria Pike, Suite B, Highland Heights, KY 41076 | 2006-12-12 |
| 1255712428 | Elizabeth Kelty Mclaurin | Dentist | 1809 Alexandria Pike, Highland Heights, KY 41076-1155 | 2015-06-14 |
| 1902031586 | Chandana Jain | Dentist | 1809 Alexandria Pike, Highland Heights, KY 41076-1155 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919060 | Caring Partners | Home Health | 3609 Alexaxdria Pike, Cold Spring, KY 41076 | 2020-07-15 |
| 1568095909 | Martha Ford | Pharmacist | 375 Crossroads Boulevard, Cold Spring, KY 41076 | 2020-02-13 |
| 1265917413 | Keysha Alston | Counselor | Northern Kentucky University- Counseling Center, University Center 440, Highland Heights, KY 41076 | 2018-10-03 |
| 1285010298 | Elizabeth Hardt | Registered Nurse | 225 Ridge Hill Drive, Highland Heights, KY 41076 | 2015-08-03 |
| 1699188441 | Stephanie James | Specialist/Technologist | Hc 218, Northern Kentucky University Nunn Drive, Highland Heights, KY 41076 | 2014-06-10 |
| 1912337528 | John Nerswick | Marriage & Family Therapist | 2861 Bluegrass Dr, Highland Heights, KY 41076 | 2013-11-18 |
| 1649454034 | Tri State Urgent Care LLC | Clinical Nurse Specialist | 3699 Alexandria Pk, Cold Spring, KY 41076 | 2007-12-21 |
| 1326227356 | Chris Wieland | Nurse Practitioner | 2885 Alexandria Pike, Highland Heights, KY 41076 | 2007-10-26 |
| 1225226954 | Mark Anthony Johnson | Chiropractor | 3955 Alexandria Pike, Cold Spring, KY 41076 | 2007-10-09 |
| 1972791739 | Wing Eyecare, Inc. | Optometrist | 339 Crossroads Blvd., Cold Spring, KY 41076 | 2007-10-05 |
| Find all providers in zip 41076 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436148 | Joanna Cheung | Dentist | 1809 Alexandria Pike Ste A, Highland Heights, KY 41076-1155 | 2008-08-04 |
| 1255712428 | Elizabeth Kelty Mclaurin | Dentist | 1809 Alexandria Pike, Highland Heights, KY 41076-1155 | 2015-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599802 | Derby City Pediatric Dentistry, Pllc | Dentist | 2120 High Wickham Pl Ste 103, Louisville, KY 40245-5903 | 2020-02-05 |
| 1588204655 | Kids Dentistree of Ky LLC | Dentist | 8727 Old Bardstown Rd, Louisville, KY 40291-4490 | 2020-01-07 |
| 1033775374 | Alex Mayes Young Dmd Pllc | Dentist | 7400 Us 42, Florence, KY 41042-1906 | 2019-05-13 |
| 1285299149 | Modern Kids Dentistry of Elizabethtown, Pllc | Dentist | 151 Drexler Cir # A, Elizabethtown, KY 42701-7843 | 2019-05-07 |
| 1780141580 | Morgan Marie Nowery | Dentist | 134 Gillette Ave, Louisville, KY 40214-1914 | 2019-02-27 |
| 1578030995 | Huda Hussain Alkuhl | Dentist | 501 S Preston St Fl 3, Louisville, KY 40202-1701 | 2018-10-24 |
| 1073099792 | Lake Cumberland Pediatric Dentistry | Dentist | 100 Hardin Ln Ste A, Somerset, KY 42503-3812 | 2018-07-16 |
| 1376032557 | Devon Cooper | Dentist | 5495 N Bend Rd Ste 102, Burlington, KY 41005-9378 | 2018-05-03 |
| 1609363795 | Alexandria Gene Maxson | Dentist | 1275 Hallwood Dr, Morehead, KY 40351-7370 | 2018-04-16 |
| 1831606094 | Djr2 Professional Limited Liability Company | Dentist | 303 S 4th St Ste 201, Danville, KY 40422-2091 | 2018-01-09 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND HEIGHTS |
| Zip Code | 41076 |
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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.