Individual provider Active NPI

Kristen Elena Eguren, DMD

  • Prosthodontics
  • Louisville, KY
National Provider Identifier
1124510581
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
10141 Issued in KY
Practice address
501 S Preston St
Louisville, KY 40202-1701
Phone
(336) 707-7131
NPI assigned
Jun 1, 2018
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 10141 KY Primary
Denturist 122400000X KY

Addresses

Primary practice location

501 S Preston St
Louisville, KY 40202-1701

Mailing address

800 S 4TH St Apt 809
Louisville, KY 40203-2177
Phone (336) 707-7131

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250828000457 KY Practitioner - Dentist 0143579045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
East Carolina University School of Dentistry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of LouisvilleGroup PAC ID 2264480615, 7 clinicians

Practice addresses (Care Compare)

501 S Preston St
Louisville, KY 40202-1701
Phone (502) 852-5103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville CurrentSince Jul 21, 2025 Accepting new patients
University of Louisville Prosthodontics CurrentSince Jul 21, 2025 Accepting new patients

Locations

501 S Preston St
Louisville, KY 40202
Phone (502) 852-5096

501 S Preston St
Rm 48
Louisville, KY 40202
Phone (502) 852-2621

529 S Jackson St
Ste 127
Louisville, KY 40202
Phone (502) 852-5747

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1124510581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S 4TH ST APT 809",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032177",
            "telephone_number": "336-707-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021701",
            "telephone_number": "336-707-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUREN",
        "first_name": "KRISTEN",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "KY",
            "license": "10141",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.