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COMMUNITY CARE OF KENTUCKY, INC
NPI 1053799080
Dentist - General Practice in Madisonville, KY

Active since May 11, 2015
1175 S MAIN ST STE 4, MADISONVILLE, KY 42431(270) 383-5511(270) 821-9602 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2018, Jan 15, 2016 (2 updates tracked since 2016).

About Community Care Of Kentucky, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CARE OF KENTUCKY, INC (NPI 1053799080) is a healthcare organization registered as a general practice in Madisonville, Kentucky and active in the NPI registry since May 2015. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1053799080
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMMUNITY CARE OF KENTUCKY, INC
Location Address1175 S MAIN ST STE 4Madisonville, KY 42431-3337
Mailing AddressPo Box 2369Anniston, AL 36202-2369 · (256) 741-7340 · Fax (256) 741-7373
Phone(270) 383-5511
Fax(270) 821-9602
Organization SubpartNo
Authorized OfficialJenell StumpManager, Licensing & Credentialing · (629) 999-5006
Enumeration DateMay 11, 2015
Last NPPES UpdateMay 7, 20182 updates tracked since enumeration
✔ NPI 1053799080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1175 S MAIN ST STE 4, Madisonville, KY 42431
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Other Identifiers 1

Medicaid7100298140KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WHITNEY DEANNE JAMES DMD
Dentist (General Practice)
1175 S MAIN ST STE 4
MADISONVILLE, KY 42431
Hopkins County (270) 383-5511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Care Of Kentucky, Inc's NPI number?

The NPI number for Community Care Of Kentucky, Inc is 1053799080. It was assigned to this organization in the NPPES registry on May 11, 2015.

Where is Community Care Of Kentucky, Inc located?

Community Care Of Kentucky, Inc is located at 1175 S Main St Ste 4, Madisonville, KY 42431. The listed phone number is (270) 383-5511.

What is Community Care Of Kentucky, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Community Care Of Kentucky, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Community Care Of Kentucky, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Care Of Kentucky, Inc was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.