EMMA REISTER PURDOM DMD
NPI 1144029976
Dentist in Benton, KY

Q: What is Emma Purdom's NPI number?

The NPI number for Emma Purdom is 1144029976. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Q: What is Emma Purdom's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Emma Purdom was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since March 12, 2025PECOS Enrolled

267 SLICKBACK RD, BENTON, KY 42025(270) 527-8441(270) 527-4187 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Mar 12, 2025 (2 updates tracked since 2025).

On this page

About Emma Reister Purdom Dmd NPPES

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

EMMA REISTER PURDOM DMD (NPI 1144029976) is an individual dentist in Benton, Kentucky, licensed in Kentucky (11337) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Dentistry (2025).

NPPES Registry Identity

NPI1144029976

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameEMMA REISTER PURDOMCredential: DMD

Location Address267 SLICKBACK RDBenton, KY 42025-7629

Mailing Address800 Rose StLexington, KY 40536-7001 · (859) 323-1884

Phone(270) 527-8441

Fax(270) 527-4187

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of DentistryGraduated 2025

Enumeration DateMarch 12, 2025

Last NPPES UpdateJune 9, 20252 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1144029976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KY · 11337

Definition

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.

267 SLICKBACK RD, Benton, KY 42025

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Reister Purdom Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850804196

PECOS Enrollment IDI20250701000353

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MARSHALL COUNTY HEALTH DEPT

Public Health or Welfare