Christopher Kersey, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN21279 Issued in FL

Practice address

4101 Hycliffe Ave
Louisville, KY 40207-3834

Phone

(863) 287-3986

NPI assigned

Oct 8, 2015

Last updated

Jun 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1063883619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 HYCLIFFE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073834",
            "telephone_number": "863-287-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 HYCLIFFE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073834",
            "telephone_number": "863-287-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-08",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10248",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Kernek, M.D.
• Laura Steffen Kerns, O.D.
• Leann Kerr, PT, CBIS, DHS
• Stanley V Kerr Jr., ORTHOTIST, OPA-C
• Kerry L Short, M.D.
• Jordan Taylor Kersey
• Mercy Kershner
• Morgan Elizabeth Kersnick, MS, OTR/L
• David Marion Kersting, MSN APRN CEN FNP-BC
• Kathryn Buck Kersting, M.D.

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.

Verify at the official NPI Registry.