Individual provider Active NPI

Josephine Flynn, D.M.D.

  • Dentist
  • Louisville, KY
National Provider Identifier
1396271003
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10750 Issued in KY
Practice address
11416 Shelbyville Rd
Louisville, KY 40243-1306
Phone
(502) 245-8442
NPI assigned
May 2, 2017
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10750 KY Primary

Addresses

Primary practice location

11416 Shelbyville Rd
Louisville, KY 40243-1306

Mailing address

3908 Winchester Rd
Louisville, KY 40207-3819
Phone (631) 404-5366

Other practice location 1

3618 Lexington Rd
Louisville, KY 40207-2950
Phone (502) 895-8261

Other names 1

  • Josephine Vargas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10750KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Family and Implant Dentistry CurrentSince Jan 8, 2023 Accepting new patients
Kenneth G Dale, DDS, LLC PastSince Jul 1, 2022 Accepting new patients

Locations

11416 Shelbyville Rd
Louisville, KY 40243
Phone (502) 245-8442

3618 Lexington Rd
Louisville, KY 40207
Phone (502) 893-9616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1396271003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 WINCHESTER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073819",
            "telephone_number": "631-404-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431306",
            "telephone_number": "502-245-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3618 Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402072950",
            "country_code": "US",
            "telephone_number": "502-895-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "VARGAS",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 4, 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.

Verify at the official NPI Registry.