Organization Active NPI

Kentucky on-Site Dental Services LLC

  • Dentist
  • Louisville, KY
National Provider Identifier
1164068722
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KENTUCKY ON-SITE DENTAL SERVICES LLC
Practice address
307 Longview Park PL
Louisville, KY 40245-6217
Phone
(502) 821-4317
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Claire Burrows, DMD
Title
Owner
Phone
(502) 821-4317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

307 Longview Park PL
Louisville, KY 40245-6217

Mailing address

307 Longview Park PL
Louisville, KY 40245-6217
Phone (502) 821-4317

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1164068722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 LONGVIEW PARK PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456217",
            "telephone_number": "502-821-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 LONGVIEW PARK PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456217",
            "telephone_number": "502-821-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ON-SITE DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-821-4317",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Nov 19, 2019; 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.