Active NPI
Rod Ali Erfani, DMD
- Dentist
- Louisville, KY
National Provider Identifier
1043670391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10177
- Practice address
- 2215 Portland Ave
Louisville, KY 40212 - Phone
- (502) 772-8160
- Fax
- (502) 772-8108
- NPI assigned
- Feb 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10177 | KY | Primary |
Addresses
Primary practice location
2215 Portland Ave
Louisville, KY 40212
Mailing address
PO Box 950244
Louisville, KY 40295-0244
Phone (812) 218-8926
Other practice location 1
3600 W Belmont Ave
Chicago, IL 60618
Phone (773) 433-8300
Other practice location 2
3600 W Belmont Ave
Chicago, IL 60618
Phone (773) 433-8300
Other practice location 3
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-3625
Other practice location 4
712 E Muhammad Ali Blvd
Louisville, KY 40202-1643
Phone (502) 568-6972
Other practice location 5
834 E Broadway
Louisville, KY 40204-1072
Phone (502) 679-7332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181011001681 | KY | Order and Referring Only - Dentist | 9133471667 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1043670391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950244",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950244",
"telephone_number": "812-218-8926",
"fax_number": "812-218-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 PORTLAND AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40212",
"telephone_number": "502-772-8160",
"fax_number": "502-772-8108"
}
],
"practiceLocations": [
{
"address_1": "3600 W Belmont Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60618",
"country_code": "US",
"telephone_number": "773-433-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 W Belmont Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60618",
"country_code": "US",
"telephone_number": "773-433-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-3625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "712 E Muhammad Ali Blvd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021643",
"country_code": "US",
"telephone_number": "502-568-6972",
"fax_number": "502-569-6201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "834 E Broadway",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402041072",
"country_code": "US",
"telephone_number": "502-679-7332",
"fax_number": "502-679-7320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERFANI",
"first_name": "ROD",
"middle_name": "ALI",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-29",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10177",
"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 Sep 11, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.