Active NPI
Westermann Family Dentistry PLLC
- General Practice Dentistry
- Louisville, KY
National Provider Identifier
1376326140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WESTERMANN FAMILY DENTISTRY PLLC
- Practice address
- 10212 Westport Rd
Louisville, KY 40241-2148 - Phone
- (502) 648-0406
- NPI assigned
- Aug 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Westermann, DMD
- Title
- Dentist Owner
- Phone
- (502) 648-0406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
10212 Westport Rd
Louisville, KY 40241-2148
Mailing address
10212 Westport Rd
Louisville, KY 40241-2148
Phone (502) 648-0406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952584054 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
10212 Westport Rd
Louisville, KY 40241
Phone (502) 426-1022
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Louisville, KY
- NPI 1467540278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1376326140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10212 WESTPORT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412148",
"telephone_number": "502-648-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10212 WESTPORT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412148",
"telephone_number": "502-648-0406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERMANN FAMILY DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "WESTERMANN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "502-648-0406",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952584054",
"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 Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.