Active NPI
Pope Family Dentistry, PLLC
- Dental Clinic/Center
- Crestwood, KY
National Provider Identifier
1043963978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- POPE FAMILY DENTISTRY, PLLC
- Practice address
- 5316 Garden Dr
Crestwood, KY 40014-8843 - Phone
- (502) 221-1310
- NPI assigned
- Jan 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hannah Pope, DMD
- Title
- Owner
- Phone
- (502) 221-1310
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5316 Garden Dr
Crestwood, KY 40014-8843
Mailing address
5316 Garden Dr
Crestwood, KY 40014-8843
Phone (502) 221-1310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100684060 | Medicaid | KY |
Other names 1
- Vibrant Smiles Mobile Dentistry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vibrantsmilesky.com | Vibrant Smiles Limited Liability Company |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Louisville, KY
- NPI 1386253847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1043963978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 GARDEN DR",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400148843",
"telephone_number": "502-221-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 GARDEN DR",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400148843",
"telephone_number": "502-221-1310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POPE FAMILY DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "POPE",
"authorized_official_first_name": "HANNAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-221-1310",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100684060",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "vibrantsmilesky.com",
"affiliation": "Y",
"affiliationName": "Vibrant Smiles Limited Liability Company",
"address_1": "76 Webb Ln",
"city": "Taylorsville",
"state": "KY",
"country_code": "US",
"postal_code": "400716771",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Vibrant Smiles Mobile Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Crestwood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.