NPIMap

Individual provider Active NPI

Matthew Stratton, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
National Provider Identifier
1154862597
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9973 Issued in KY
Practice address
3935 Dupont Cir Ste D
Louisville, KY 40207-4824
Phone
(502) 897-0424
NPI assigned
Mar 18, 2017
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9973 KY Primary

Addresses

Primary practice location

3935 Dupont Cir Ste D
Louisville, KY 40207-4824

Mailing address

515 Wooded Falls Rd
Middletown, KY 40243-2198
Phone (502) 648-1098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030000227 KY Practitioner - Oral Surgery 8820521834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green and Jones Oral and Maxillofacial Surgery PLLCGroup PAC ID 8820324759, 4 clinicians

Practice addresses (Care Compare)

3935 Dupont Cir
Suite D
Louisville, KY 40207-4824
Phone (502) 897-0424

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9973KYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Green & Jones Oral and Maxillofacial Surgery PLLC Oral and Maxillofacial Surgery CurrentSince Aug 8, 2024 Accepting new patients
Ralph M. Green DMD, PLLC Oral and Maxillofacial Surgery CurrentSince Jun 23, 2024 Accepting new patients

Locations

3935 DuPont Cir
Ste D
Louisville, KY 40207
Phone (502) 897-0424

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1154862597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WOODED FALLS RD",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402432198",
            "telephone_number": "502-648-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 DUPONT CIR STE D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074824",
            "telephone_number": "502-897-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "MATTHEW",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "9973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.