Mortensonfamilydentalcenter-Buechel, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC

Practice address

4311 Bardstown Rd
Suite 102
Louisville, KY 40218-3233

Phone

(502) 491-0283

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Steve James

Title

Cfo

Phone

(502) 254-8504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1326335084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 BARDSTOWN RD",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183233",
            "telephone_number": "502-491-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mortenson Family Dental Center-Valley Station
• Brent W Mortenson, DMD
• Kate Lindsey Mortenson, DMD
• Matthew Mortenson, DMD
• Sean Mortenson, APRN
• Bailey Lauren Mortis, LMFT
• Elizabeth T Morton, PA C
• Ellen Lynnae Morton, LCSW
• Kirsten Morton, PTA
• Laura Morton, M.D.

• 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 Jul 1, 2011; 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.