Active NPI
Dupont Pediatric Dentistry
- Pediatric Dentistry
- Louisville, KY
National Provider Identifier
1255757852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- DUPONT PEDIATRIC DENTISTRY
- Practice address
- 3934 Dutchmans LN
Louisville, KY 40207-4702 - Phone
- (502) 897-0625
- NPI assigned
- Mar 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jenna Schulten, DMD
- Title
- Pediatric Dentist
- Phone
- (270) 789-7890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8868 | KY | |
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
3934 Dutchmans LN
Louisville, KY 40207-4702
Mailing address
3934 Dutchmans LN
Louisville, KY 40207-4702
Phone (502) 897-0625
National Provider Directory
National Provider DirectoryLocations
98 C Michael Davenport Blvd
Frankfort, KY 40601
Phone (502) 223-7186
9318 Cedar Center Way
Louisville, KY 40291
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Louisville, KY
- NPI 1821317132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657065600000",
"number": "1255757852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3934 DUTCHMANS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074702",
"telephone_number": "502-897-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3934 DUTCHMANS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074702",
"telephone_number": "502-897-0625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUPONT PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-07",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A",
"authorized_official_last_name": "SCHULTEN",
"authorized_official_first_name": "JENNA",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "270-789-7890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "8868",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"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 Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.