Organization Active NPI

Gerlach Family Dentistry PSC

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1043447014
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GERLACH FAMILY DENTISTRY PSC
Practice address
210 W Woodlawn Ave
Louisville, KY 40214-1922
Phone
(502) 368-5529
Fax
(502) 368-9883
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Mrs. Amanda Bisch
Title
Administration
Phone
(502) 368-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

210 W Woodlawn Ave
Louisville, KY 40214-1922

Mailing address

210 W Woodlawn Ave
Louisville, KY 40214-1922
Phone (502) 368-5529

National Provider Directory

National Provider Directory

Locations

210 W Woodlawn Ave
Louisville, KY 40214
Phone (502) 368-5529

Practitioners & affiliated clinicians

Practitioners 2

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": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1043447014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141922",
            "telephone_number": "502-368-5529",
            "fax_number": "502-368-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141922",
            "telephone_number": "502-368-5529",
            "fax_number": "502-368-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERLACH FAMILY DENTISTRY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "BISCH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "502-368-5529",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Jun 17, 2009; 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.