Active NPI
Morgan Earle Menard, DMD
- General Practice Dentistry
- Louisville, KY
National Provider Identifier
1225370281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9373
- Practice address
- 4825 S 3Rd St
Louisville, KY 40214-2184 - Phone
- (502) 366-6362
- Fax
- (502) 368-8600
- NPI assigned
- Mar 17, 2013
- 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 | 9373 | KY | Primary |
Addresses
Primary practice location
4825 S 3Rd St
Louisville, KY 40214-2184
Mailing address
4825 S 3Rd St
Louisville, KY 40214-2184
Phone (502) 366-6362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100257000 | Medicaid | KY |
Other names 1
- Morgan Lee Earle
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 |
|---|---|---|---|
| 9373 | KY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1225370281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 S 3RD ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402142184",
"telephone_number": "502-366-6362",
"fax_number": "502-368-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 S 3RD ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402142184",
"telephone_number": "502-366-6362",
"fax_number": "502-368-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "MORGAN",
"middle_name": "EARLE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-17",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "9373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100257000",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MORGAN",
"last_name": "EARLE",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}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 Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.