Active NPI
University of Louisville
- Special Hospital
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- UNIVERSITY OF LOUISVILLE
- Practice address
- 529 S Jackson St
# 127
Louisville, KY 40202-3229 - Phone
- (502) 852-5747
- Fax
- (502) 852-6132
- NPI assigned
- Mar 16, 2007
- Last updated
- Sep 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zafrulla Khan, DDS
- Title
- Prosthodontics
- Phone
- (502) 852-5747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | Primary |
Addresses
Primary practice location
529 S Jackson St
# 127
Louisville, KY 40202-3229
Mailing address
529 S Jackson St
# 127
Louisville, KY 40202-3229
Phone (502) 852-5747
Other names 1
- Maxillofacial Oncologic Dentistry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050203000018 | KY | Part B Supplier - Clinic/Group Practice | 2264480615 |
Receives reassigned benefits from 14 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Louisville, KY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba University of Louisville School of Dentistry
- General Practice Dentistry
- Louisville, KY
- NPI 1861413098
O20050203000018
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Louisville, KY
- NPI 1982672150
-
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
- NPI 1902251358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253491200000",
"number": "1013041391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 S JACKSON ST",
"address_2": "# 127",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023229",
"telephone_number": "502-852-5747",
"fax_number": "502-852-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 S JACKSON ST",
"address_2": "# 127",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023229",
"telephone_number": "502-852-5747",
"fax_number": "502-852-6132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF LOUISVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2009-09-21",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ZAFRULLA",
"authorized_official_title_or_position": "PROSTHODONTICS",
"authorized_official_telephone_number": "502-852-5747",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maxillofacial Oncologic Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Louisville, KY
- University Neurologists PSC
- University Neurologists PSC
- University Obstetrical and Gynecological Associates, PSC
- University of Louisivlle Physicians (ULP Pediatric Infectious Diseases)
- University of Louisivlle Research Foundation (ULRF - Neonatal Follow-Up)
- University of Louisville
- University of Louisville
- University of Louisville
- University of Louisville (Children and Youth Project-Adolescent Clinic)
- University of Louisville
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.