Active NPI
Jessie C Bittner, D.M.D
- Dentist
- Florence, KY
National Provider Identifier
1174044390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9992
- Practice address
- 7668 Mall Rd Unit B
Florence, KY 41042-1593 - Phone
- (859) 568-1900
- NPI assigned
- Jun 28, 2017
- Last updated
- Jun 13, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12012801A | IN | |
| Dentist | 122300000X | 9992 | KY | Primary |
Addresses
Primary practice location
7668 Mall Rd Unit B
Florence, KY 41042-1593
Mailing address
7668 Mall Rd Unit B
Florence, KY 41042-1593
Other practice location 1
7668 Mall Rd Unit B
Florence, KY 41042-1593
Phone (859) 568-1900
Other practice location 2
4919 Outer Loop
Louisville, KY 40219-4051
Phone (502) 791-5594
Other practice location 3
1116 Veterans Pkwy
Clarksville, IN 47129-2370
Phone (866) 571-3409
Other practice location 4
4919 Outer Loop
Louisville, KY 40219-4051
Phone (502) 791-5594
Other practice location 5
6810 Dixie Hwy
Louisville, KY 40258-3914
Phone (502) 873-0171
Other practice location 6
220 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 653-2859 ext. 2
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170825002691 | KY | Order and Referring Only - Dentist | 2163794157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12012801A | IN | MD | Dentist |
| 9992 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1174044390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7668 MALL RD UNIT B",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7668 MALL RD UNIT B",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421593",
"telephone_number": "859-568-1900"
}
],
"practiceLocations": [
{
"address_1": "7668 Mall Rd Unit B",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410421593",
"country_code": "US",
"telephone_number": "859-568-1900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4919 Outer Loop",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402194051",
"country_code": "US",
"telephone_number": "502-791-5594",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1116 Veterans Pkwy",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "IN",
"postal_code": "471292370",
"country_code": "US",
"telephone_number": "866-571-3409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4919 Outer Loop",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402194051",
"country_code": "US",
"telephone_number": "502-791-5594",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6810 Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402583914",
"country_code": "US",
"telephone_number": "502-873-0171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Cassidy Blvd",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "41501",
"country_code": "US",
"telephone_number": "606-653-2859 x2",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BITTNER",
"first_name": "JESSIE",
"middle_name": "C",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12012801A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.