NPIMap

Organization Active NPI

Springhurst Endodontics PSC

  • Endodontics
  • Louisville, KY
National Provider Identifier
1053683342
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8260 Issued in KY
Legal business name
SPRINGHURST ENDODONTICS PSC
Practice address
3801 Springhurst Blvd Ste 108
Louisville, KY 40241-6137
Phone
(502) 618-1200
Fax
(502) 618-1205
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Jolanta Sauer
Title
Owner
Phone
(502) 618-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 8260 KY Primary

Addresses

Primary practice location

3801 Springhurst Blvd Ste 108
Louisville, KY 40241-6137

Mailing address

3801 Springhurst Blvd Ste 108
Louisville, KY 40241-6137

Other identifiers 1

IdentifierTypeStateIssuer
60004256MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Springhurst Endodontics PSC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1053683342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SPRINGHURST BLVD STE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SPRINGHURST BLVD STE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416137",
            "telephone_number": "502-618-1200",
            "fax_number": "502-618-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGHURST ENDODONTICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "JOLANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-618-1200"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "8260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60004256",
            "state": "KY"
        }
    ],
    "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 Feb 1, 2012; 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.