1780113845 NPI number — DR. KAITTIN EVERIDGE SINGLETON DMD

Table of content: DR. KAITTIN EVERIDGE SINGLETON DMD (NPI 1780113845)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780113845 NPI number — DR. KAITTIN EVERIDGE SINGLETON DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGLETON
Provider First Name:
KAITTIN
Provider Middle Name:
EVERIDGE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
EVERIDGE
Provider Other First Name:
REBEKAH
Provider Other Middle Name:
KAITTIN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780113845
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3285 BLAZER PKWY #200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-543-0700
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3285 BLAZER PKWY
Provider Second Line Business Practice Location Address:
#200
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-543-0700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/12/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  9960 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 122300000X , with the licence number: 9960 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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