Peter Frank Alena, DMD
Individual provider Active NPI General Practice Dentistry · Louisville, KY
NPI 1326530965 · NPPES record last updated Oct 4, 2018
Key facts
- NPI
- 1326530965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10092 (KY)
- Practice address
- 501 S Preston St RM 148
Louisville, KY 40202-1701 - Phone
- (502) 852-5838
- NPI assigned
- May 30, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180829002588 | KY | Order and Referring Only - Dentist |
8921358797 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 10092 | KY | |
| General Practice Dentistry | 1223G0001X | 10092 | KY | Yes |
Addresses
Primary practice location
501 S Preston St RM 148
Louisville, KY 40202-1701
Mailing address
925 Ardmore Dr
Louisville, KY 40217-2338
Phone (770) 401-5541
Other providers in Louisville, KY
- Virginia Ramsey Aldrich
- Lucy Aldridge
- Sara E Aldridge
- Ana Rosa Alegria Puertas
- Bonifacio Aleman
- Albert E Alexander Jr.
- Amanda Alexander
- Amber Alexander
- Amy Alexander
- Brian Adrian Alexander
All providers in Louisville, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.