Active NPI
Special Care Dental of Indiana, LLC
- Dentist
- Louisville, KY
National Provider Identifier
1386054393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SPECIAL CARE DENTAL OF INDIANA, LLC
- Practice address
- 12910 Shelbyville Rd
Suite 300
Louisville, KY 40243-1593 - Phone
- (502) 244-2441
- Fax
- (502) 254-4086
- NPI assigned
- Apr 29, 2014
- 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
- Leah Francis
- Title
- Credentialing Coordinator
- Phone
- (502) 244-2441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
12910 Shelbyville Rd
Suite 300
Louisville, KY 40243-1593
Mailing address
12910 Shelbyville Rd
Suite 300
Louisville, KY 40243-1593
Phone (502) 244-2441
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408320000000",
"number": "1386054393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12910 SHELBYVILLE RD",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431593",
"telephone_number": "502-244-2441",
"fax_number": "502-254-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12910 SHELBYVILLE RD",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431593",
"telephone_number": "502-244-2441",
"fax_number": "502-254-4086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL CARE DENTAL OF INDIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-29",
"last_updated": "2014-08-18",
"status": "A",
"authorized_official_last_name": "FRANCIS",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "502-244-2441"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Sonya J Spears
- Tomico Camille Spears, LPTA
- Tyler Spears
- Thomas J Spech, M.D.
- Special Care Dental of Georgia, LLC
- Special Care Dental of Kentucky PLLC
- Special Care Hearing of Indiana LLC
- Special Care Hearing of Kentucky LLC
- Special Care Podiatry of Kentucky Skrip LLC
- Special Care Podiatry of Kentucky, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.