NPIMap

Organization Active NPI

Robert B. McDade, DMD, PSC

  • General Practice Dentistry
  • Shepherdsville, KY
National Provider Identifier
1407078009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4981 Issued in KY
Legal business name
ROBERT B. MCDADE, DMD, PSC
Practice address
1250 Hwy 44E
Shepherdsville, KY 40165
Phone
(502) 543-2341
Fax
(502) 955-2006
NPI assigned
May 3, 2007
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
Robert B. McDade, DMDNPI 1619019783
Title
Owner
Phone
(502) 543-2341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4981 KY Primary

Addresses

Primary practice location

1250 Hwy 44E
Shepherdsville, KY 40165

Mailing address

PO Box 217
Shepherdsville, KY 40165-0217
Phone (502) 955-6460

National Provider Directory

National Provider Directory

Locations

1250 Highway 44 E
Shepherdsville, KY 40165
Phone (502) 543-2341

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407078009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401650217",
            "telephone_number": "502-955-6460",
            "fax_number": "502-955-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HWY 44E",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "40165",
            "telephone_number": "502-543-2341",
            "fax_number": "502-955-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B. MCDADE, DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDADE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-543-2341",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, 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.