Individual provider Active NPI

Alexander Musser

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
National Provider Identifier
1053756502
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9854 Issued in KY
Practice address
5100 Outer Loop
Louisville, KY 40219
Phone
(502) 966-8660
NPI assigned
May 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12012589A IN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 9854 KY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9854 KY Primary

Addresses

Primary practice location

5100 Outer Loop
Louisville, KY 40219

Mailing address

5100 Outer Loop
Louisville, KY 40219-4056
Phone (502) 966-8660

Other practice location 1

2441 State St
New Albany, IN 47150-4962
Phone (812) 944-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180828002509 IN Practitioner - Oral Surgery 1052553708 Reassigns benefits to 1 organization
I20180918000810 KY Practitioner - Oral Surgery 1052553708 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012589AINMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery Group of Middletown, PLLC Oral and Maxillofacial Surgery CurrentSince Aug 1, 2018 Accepting new patients
Oral Surgery Group of Southern Indiana, LLC Oral and Maxillofacial Surgery CurrentSince Aug 1, 2018 Accepting new patients
Oral Surgery Group of Frankfort, PLLC Oral and Maxillofacial Surgery CurrentSince Aug 1, 2018 Accepting new patients

Locations

2441 State St
New Albany, IN 47150
Phone (812) 944-7200

2441 State St
Ste C
New Albany, IN 47150
Phone (502) 200-5325

103 C Michael Davenport Blvd
Ste 3
Frankfort, KY 40601
Phone (502) 352-2504

5100 Outer Loop
Ste B
Louisville, KY 40219
Phone (502) 966-8660

134 Evergreen Rd
Ste 103
Middletown, KY 40243
Phone (502) 410-1702

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1053756502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402194056",
            "telephone_number": "502-966-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40219",
            "telephone_number": "502-966-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2441 State St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504962",
            "country_code": "US",
            "telephone_number": "812-944-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSER",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12012589A",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "9854",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "9854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.