Active NPI
Sarron S. Khounganian, DMD
- Dentist
- Louisville, KY
National Provider Identifier
1104756048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-00204
- Practice address
- 302 Axis Dr
Louisville, KY 40206-0130 - Phone
- (901) 571-0222
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-00204 | KY | Primary |
Addresses
Primary practice location
302 Axis Dr
Louisville, KY 40206-0130
Mailing address
302 Axis Dr
Louisville, KY 40206-0130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-00204 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1104756048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 AXIS DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402060130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 AXIS DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402060130",
"telephone_number": "901-571-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOUNGANIAN",
"first_name": "SARRON",
"middle_name": "S.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "D-00204",
"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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.