Preston Highway Oral Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PRESTON HIGHWAY ORAL SURGERY PLLC

Practice address

8516 Preston Hwy
Louisville, KY 40219-5302

Phone

(502) 969-2523

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Gina Abrotsky

Title

Credentialing Specialist

Phone

(720) 603-4788

Specialties & licenses 1

Addresses

Other names 1

• Derby City Oral Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph John Mascaro, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1588747687
  NPD (past)

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1083267629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8516 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195302",
            "telephone_number": "502-969-2523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Herr Ln Ste E",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402226567",
            "country_code": "US",
            "telephone_number": "024-296-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESTON HIGHWAY ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "ABROTSKY",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4788"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derby City Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Elizabeth Presgrove
• Amanda Presnell
• Deborah Presser, OT
• Prestige Chiropractic Center
• Preston Chiropractic and Rehabilitation LLC
• Preston Medical Center
• Preston Medical Center, LLC
• Preston Spa LLC
• Preston Station Occupational Health Services, PSC
• Preston Urgent Care, Inc

• Oral and Maxillofacial Surgery (Dentist) in Louisville, KY
• Providers in Louisville, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.