Active NPI
Lisa Boyer, DMD
- General Practice Dentistry
- Louisville, KY
National Provider Identifier
1184047086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6382
- Practice address
- 455 S 4TH St
Suite 950-C
Louisville, KY 40202-2593 - Phone
- (502) 587-6131
- Fax
- (502) 584-8600
- NPI assigned
- Jan 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6382 | KY | Primary |
Addresses
Primary practice location
455 S 4TH St
Suite 950-C
Louisville, KY 40202-2593
Mailing address
455 S 4TH St
Suite 950-C
Louisville, KY 40202-2593
Phone (502) 587-6131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6382 | KY | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis G. Piontek D.M.D.,PSC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Louisville, KY
- NPI 1184727133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1184047086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S 4TH ST",
"address_2": "SUITE 950-C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022593",
"telephone_number": "502-587-6131",
"fax_number": "502-584-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S 4TH ST",
"address_2": "SUITE 950-C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022593",
"telephone_number": "502-587-6131",
"fax_number": "502-584-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "LISA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "6382",
"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 Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.