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Active NPI 1033968995 Individual Practitioner Male Practitioner

Jack Moynihan

Dentist - General Practice • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Jack Moynihan is a registered healthcare professional specializing in Dentist - General Practice in Lexington, KY. Practice services are available at 800 ROSE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

800 Rose St

Lexington, KY 405367001

Telephone 4133133700
Associated Practice Facility / Clinic
🏢 University Of Kentucky Facility NPI 1518911338

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
218 Specialists

Practicing in Lexington, KY (1699 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 11143

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jeremy Thacker , MD

Radiology - Diagnostic Radiology

NPI 1003026295

Doctor of Medicine (M.D.)

Dr. Kirk Heitman , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003041849

Doctor of Medicine (M.D.)

Dr. Harish Ram , MD

Anesthesiology

NPI 1003128323

Doctor of Medicine (M.D.)

Yvonne Rice , APRN NP-C

Nurse Practitioner - Family

NPI 1003167495

APRNNPC

Dr. Vanessa Smith , MD

Pathology - Anatomic Pathology

NPI 1003170069

Doctor of Medicine (M.D.)

Jasmine Howard , APRN

Nurse Practitioner - Acute Care

NPI 1003193129

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2025

Dentist (License #11143 in KY)

NPI Profile Active May 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2024

Registered at 800 ROSE ST, LEXINGTON, KY 405367001 (Tel: 4133133700)

📍
Updated Business Mailing Address May 14, 2024

Registered at 800 ROSE ST RM D-508, LEXINGTON, KY 405361304 (Tel: 8592572002)

👤
Provider Name / Credentials Updated May 14, 2024

Recorded as JACK MOYNIHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 14, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033968995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2024
Last Update: September 29, 2025
Sole Proprietor: No

Mailing Address

800 Rose St Rm D-508

Lexington, KY 405361304

Phone: 8592572002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.