TDS Ky Two

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TDS KY TWO

Practice address

5141 Dixie Hwy Ste 101
Louisville, KY 40216-1765

Phone

(502) 449-2733

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Adrienne Nicholson

Title

Regional Manager

Phone

(812) 569-2955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1306306253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 DIXIE HWY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161765",
            "telephone_number": "502-449-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 DIXIE HWY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161765",
            "telephone_number": "502-449-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDS KY TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "812-569-2955"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TBD Acquisition, LLC
• TBS Dental PLLC
• TD Ky One LLC
• TDS Ky Five
• TDS Ky Four, LLC
• Jessica Teachout, RN
• Rod-Janae D Teagle, RBT
• Barrett M Teague, APRN
• Nicole Teague
• Molly Ann Halpin Techau, LPCC, LMFT

• Dental Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.