Kentuckiana Dental Sleep Medicine PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8004 Issued in KY

Legal business name

KENTUCKIANA DENTAL SLEEP MEDICINE PLLC

Practice address

8921 Stone Green Way
Louisville, KY 40220-4073

Phone

(502) 458-7476

Fax

(502) 458-7797

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Amy Brown, DMD

Title

Member

Phone

(502) 458-7476

Specialties & licenses 1

Addresses

Locations

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.

• John M McCrillis

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1184678815
  NPD (past)

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1245504745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 STONE GREEN WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204073",
            "telephone_number": "502-458-7476",
            "fax_number": "502-458-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 STONE GREEN WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204073",
            "telephone_number": "502-458-7476",
            "fax_number": "502-458-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA DENTAL SLEEP MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-458-7476",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentuckiana Center for Better Bone & Joint Health PLLC
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• Kentuckiana Center for Education, Health and Research, Inc (Kentuckiana Children's Center)
• Kentuckiana Colon and Rectal Surgery, PLLC
• Kentuckiana Community Based Services
• Kentuckiana Ear, Nose & Throat PSC
• Kentuckiana Emergency Physicians
• Kentuckiana Emergency Physicians, PLLC
• Kentuckiana First Assist, LLC
• Kentuckiana Foot & Ankle PLLC (Kentucky Foot and Ankle Specialists)

• 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 Mar 1, 2012; 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.