Organization Active NPI

Michael L Sturgeon DMD PSC

  • Dental Clinic/Center
  • Louisville, KY
National Provider Identifier
1023767746
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL L STURGEON DMD PSC
Practice address
4040 Dixie Hwy
Louisville, KY 40216-3875
Phone
(502) 448-8354
Fax
(502) 448-4708
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael L Sturgeon Jr., DMDNPI 1952697997
Title
Owner
Phone
(502) 448-8354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4040 Dixie Hwy
Louisville, KY 40216-3875

Mailing address

4040 Dixie Hwy
Louisville, KY 40216-3875
Phone (502) 448-8354

National Provider Directory

National Provider Directory

Locations

4040 Dixie Hwy
Louisville, KY 40216
Phone (502) 448-8354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1023767746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163875",
            "telephone_number": "502-448-8354",
            "fax_number": "502-448-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163875",
            "telephone_number": "502-448-8354",
            "fax_number": "502-448-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L STURGEON DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "STURGEON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-448-8354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.