Matthew Alan Akridge, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

836 Issued in KY

Practice address

12405 Old Shelbyville Rd
Louisville, KY 40243-1505

Phone

(502) 244-0204

Fax

(502) 244-5683

NPI assigned

May 6, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Akridge Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Louisville, KY
  • NPI 1558640821
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1154649705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43728",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530728",
            "telephone_number": "502-244-0204",
            "fax_number": "502-244-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 OLD SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431505",
            "telephone_number": "502-244-0204",
            "fax_number": "502-244-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRIDGE",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Akin, DO
• Olugbenga Akindele, B. PHARM.
• Karen Akins
• Akridge Orthodontics
• A. Alan Akridge, D.M.D.,P.S.C.
• Innocent Akwa
• Mohammad Al Azzawi
• Ahmed Al Ghaithi
• Misbah Al Hanbali, MD
• Ahmed Al Harbi, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.