Active NPI
Alexander Musser
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 9854
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12012589A | IN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral Surgery Group of Middletown, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Oral Surgery Group of Southern Indiana, LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Oral Surgery Group of Frankfort, PLLC | Oral and Maxillofacial Surgery | Current | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Frankfort, KY
- NPI 1568768224
-
- Oral and Maxillofacial Surgery Clinic/Center
- Middletown, KY
- NPI 1497070148
-
- Dental Clinic/Center
- New Albany, IN
- NPI 1831377712
Oral and Maxillofacial Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.