Paddock Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PADDOCK DENTAL

Practice address

3002 Bardstown Rd
Louisville, KY 40205-3020

Phone

(502) 451-2212

Fax

(502) 456-0849

NPI assigned

Jan 18, 2022

Organization subpart

Yes

Parent organization

PADDOCK DENTALAs reported in NPPES

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

Authorized official

Name

Angela F Laiacono

Title

Front Desk

Phone

(502) 451-2212

Specialties & licenses 1

Addresses

Other names 1

• Pearl Dental Doing business as

Part of

Paddock Dental

Locations

Practitioners 2

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

• Abigail Ann Dierking, DDS

  • Dentist
  • Louisville, KY
  • NPI 1508015520
  NPD
• Abigail Easter Little, DMD

  • Dentist
  • Louisville, KY
  • NPI 1457196081
  NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1033860341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053020",
            "telephone_number": "502-451-2212",
            "fax_number": "502-456-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053020",
            "telephone_number": "502-451-2212",
            "fax_number": "502-456-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADDOCK DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PADDOCK DENTAL",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "LAIACONO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "502-451-2212"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Pacheco
• Lauren Grace Pachl, LCSW
• James Packer, APRN
• Melissa D Packwood, PA
• Pactee Dental PLLC
• Jack Henry Paddock
• Cassie Padgett
• Elizabeth Padgett
• Rachel Padgett
• Christopher Francisco Padilla, ATC

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.