Organization Active NPI

David T. Dodd DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
National Provider Identifier
1093134843
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5870 Issued in KY
Legal business name
DAVID T. DODD DMD
Practice address
4122 Shelbyville Rd
#120
Louisville, KY 40207-3242
Phone
(502) 897-5239
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. David Thomas Dodd, DMD
Title
Owner
Phone
(502) 897-5239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 5870 KY Primary

Addresses

Primary practice location

4122 Shelbyville Rd
#120
Louisville, KY 40207-3242

Mailing address

4122 Shelbyville Rd
#120
Louisville, KY 40207-3242
Phone (502) 897-5239

National Provider Directory

National Provider Directory

Locations

4122 Shelbyville Rd
Ste 120
Louisville, KY 40207
Phone (502) 289-6746

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1093134843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 SHELBYVILLE RD",
            "address_2": "#120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073242",
            "telephone_number": "502-897-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 SHELBYVILLE RD",
            "address_2": "#120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073242",
            "telephone_number": "502-897-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T. DODD DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-897-5239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "5870",
            "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 Apr 9, 2014; 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.