Active NPI
Anastasia Morgan Combs, DMD
- Dentist
- Louisville, KY
National Provider Identifier
1326015702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8200
- Practice address
- 2300 Terra Crossing Blvd Ste 107
Louisville, KY 40245-5906 - Phone
- (502) 709-7285
- Fax
- (502) 305-6520
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8200 | KY | |
| Dentist | 122300000X | 8200 | KY | Primary |
Addresses
Primary practice location
2300 Terra Crossing Blvd Ste 107
Louisville, KY 40245-5906
Mailing address
P.O. Box 437169
Louisville, KY 40253-7169
Phone (502) 254-8537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60003563 | Medicaid | KY | |
| 7100191280 | Other | KY | EPSDT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160912001820 | KY | Order and Referring Only - Dentist | 2961798384 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1326015702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 437169",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402537169",
"telephone_number": "502-254-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 TERRA CROSSING BLVD STE 107",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402455906",
"telephone_number": "502-709-7285",
"fax_number": "502-305-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "ANASTASIA",
"middle_name": "MORGAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "8200",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60003563",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPSDT",
"identifier": "7100191280",
"state": "KY"
}
],
"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 Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.