Fred Look, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3880 Issued in KY

Practice address

5141 Dixie Hwy
Suite 104
Louisville, KY 40216-1765

Phone

(502) 448-7988

Fax

(502) 447-9326

NPI assigned

Oct 13, 2005

Last updated

Aug 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fred Look, P.S.C., D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1306835632
  NPD (past) Authorized official
• Steven M Florence DMD PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1215065420
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1396733200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 DIXIE HWY",
            "address_2": "SUITE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161765",
            "telephone_number": "502-448-7988",
            "fax_number": "502-447-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 DIXIE HWY",
            "address_2": "SUITE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161765",
            "telephone_number": "502-448-7988",
            "fax_number": "502-447-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOK",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "3880",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY3880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Longino, NP-C
• Chase Arthur Longnaker, MSC, MFT ASSOCIATE
• Kathryn K Longroy, ATR-BC
• Kara A Lonser, PSYD
• Gian Paolo Loo F, MD
• Lee F Look, PH.D.
• Stephany R. Looper, CRNA
• Everardo Lopez Perna, PA, CSA
• Cynthia Rebeca Lopez-Minton
• Omar E Lopez-Samoya, MD

• Oral and Maxillofacial Surgery (Dentist) in Louisville, KY
• Providers in Louisville, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.