Carol L Muth, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6938 Issued in KY

Practice address

4515 Churchman Ave
Louisville, KY 40215-1109

Phone

(502) 361-0637

Fax

(502) 361-0636

NPI assigned

Jan 18, 2007

Last updated

Jan 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1407909294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 CHURCHMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151172",
            "telephone_number": "502-361-0637",
            "fax_number": "502-361-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 CHURCHMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151109",
            "telephone_number": "502-361-0637",
            "fax_number": "502-361-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTH",
        "first_name": "CAROL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60069382",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Dougherty Mussetter, DPT
• Muhammad Talha Mustafa
• Marisa Musto
• Ian Spencer Mutchnick, MD
• Katherine Jean Muterspaw, DO
• Catherine Ann Muth, ARNP
• Carrie Mutter
• Jessica Mutters-Morales, DO
• Baraka Mutume
• Celine Mutuyemariya, LPCA

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.