Organization Active NPI

C K Dental, Inc.

Doing business as North Bullitt Family Dental

  • General Practice Dentistry
  • Shepherdsville, KY
National Provider Identifier
1245455120
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6692 Issued in KY
Legal business name
C K DENTAL, INC.
Doing business as
North Bullitt Family Dental
Practice address
3564 Willow Way
Shepherdsville, KY 40165-8984
Phone
(502) 955-1606
Fax
(502) 955-1439
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Kevin Meunier, D.M.D.NPI 1609897040
Title
VP
Phone
(502) 955-1606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6692 KY Primary

Addresses

Primary practice location

3564 Willow Way
Shepherdsville, KY 40165-8984

Mailing address

3564 Willow Way
Shepherdsville, KY 40165-8984
Phone (502) 955-1606

Other names 1

  • North Bullitt Family Dental Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245455120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 WILLOW WAY",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658984",
            "telephone_number": "502-955-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 WILLOW WAY",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658984",
            "telephone_number": "502-955-1606",
            "fax_number": "502-955-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C K DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEUNIER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "502-955-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bullitt Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.