Organization Active NPI

Special Care Dental of Kentucky PLLC

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1295007383
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7590 Issued in KY
Legal business name
SPECIAL CARE DENTAL OF KENTUCKY PLLC
Practice address
4350 Brownsboro Rd Ste 210
Louisville, KY 40207-1681
Phone
(248) 528-2116
Fax
(502) 996-8282
NPI assigned
Feb 3, 2012
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Lori Haines, DMD
Title
Owner
Phone
(502) 244-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7590 KY Primary

Addresses

Primary practice location

4350 Brownsboro Rd Ste 210
Louisville, KY 40207-1681

Mailing address

4350 Brownsboro Rd Ste 210
Louisville, KY 40207-1681
Phone (248) 528-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170104001074 KY Part B Supplier - Clinic/Group Practice 2769763879 Receives reassigned benefits from 6 practitioners

National Provider Directory

National Provider Directory

Locations

323 Webster Ave
Cynthiana, KY 41031
Phone (859) 234-4595

213 Water St
Dawson Springs, KY 42408
Phone (270) 797-2025

521 Greene Dr
Greenville, KY 42345
Phone (270) 338-1523

406 Wyoming Rd
Owingsville, KY 40360
Phone (606) 674-6613

555 Bourne Ave
Somerset, KY 42501
Phone (606) 679-7421

100 Veterans Dr
Wilmore, KY 40390
Phone (859) 858-2814

Practitioners & affiliated clinicians

Practitioners 6

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": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1295007383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 BROWNSBORO RD STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071681",
            "telephone_number": "248-528-2116",
            "fax_number": "502-996-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 BROWNSBORO RD STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071681",
            "telephone_number": "248-528-2116",
            "fax_number": "502-996-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE DENTAL OF KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-244-2420",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7590",
            "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 Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.