Jonathan Edward Mitchell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9250 Issued in KY

Practice address

11302 Preston Hwy
Louisville, KY 40229-3869

Phone

(502) 955-6134

Fax

(502) 955-6135

NPI assigned

Aug 12, 2012

Last updated

Dec 2, 2025By the provider in NPPES

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1205183977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402293869",
            "telephone_number": "502-955-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402293869",
            "telephone_number": "502-955-6134",
            "fax_number": "502-955-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-12",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Kathleen Mitchell
• Heather Lee Mitchell, LPCA
• Jade Lynn Mitchell, LCSW
• Janet Ellen Mitchell, LCSW, RPT-S
• Joey Mitchell
• Kailyn Mitchell
• Katherine O Mitchell, ARNP
• Kaytlyn Dawn Mitchell, MA, BCBA, LBA
• Kelly Jean Reynolds Mitchell
• Kelsey Mitchell

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.