Organization Active NPI

Dumesnil Dental

  • Dental Clinic/Center
  • Louisville, KY
National Provider Identifier
1396733689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DUMESNIL DENTAL
Practice address
2730 Dumesnil St
Louisville, KY 40211-3466
Phone
(502) 778-1900
Fax
(502) 778-1905
NPI assigned
Oct 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michelle Faeth Jordan
Title
Ofc Manager
Phone
(502) 778-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2730 Dumesnil St
Louisville, KY 40211-3466

Mailing address

2730 Dumesnil St
Louisville, KY 40211-3466
Phone (502) 778-1900

National Provider Directory

National Provider Directory
Tax ID family
J Mason Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2730 Dumesnil St
Louisville, KY 40211
Phone (502) 776-1177

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396733689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 DUMESNIL ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402113466",
            "telephone_number": "502-778-1900",
            "fax_number": "502-778-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 DUMESNIL ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402113466",
            "telephone_number": "502-778-1900",
            "fax_number": "502-778-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUMESNIL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "FAETH",
        "authorized_official_title_or_position": "OFC MANAGER",
        "authorized_official_telephone_number": "502-778-1900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.