Active NPI
Dennis Richard Price, DMD
- Dentist
- Louisville, KY
National Provider Identifier
1023228806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5401
- Practice address
- 2811 Bardstown Rd
Louisville, KY 40205-2677 - Phone
- (502) 458-1114
- Fax
- (502) 458-2817
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5401 | KY | |
| Dentist | 122300000X | 5401 | KY | Primary |
Addresses
Primary practice location
2811 Bardstown Rd
Louisville, KY 40205-2677
Mailing address
2811 Bardstown Rd
Louisville, KY 40205-2677
Phone (502) 458-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 29, 2015 through Oct 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5401 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1023228806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052677",
"telephone_number": "502-458-1114",
"fax_number": "502-458-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052677",
"telephone_number": "502-458-1114",
"fax_number": "502-458-2817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "DENNIS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "5401",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.