Mortenson Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MORTENSON FAMILY DENTAL

Practice address

8711 Old Bardstown Rd
Louisville, KY 40291-4435

Phone

(502) 231-4633

Fax

(502) 231-4722

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Owen Wayne Mortenson

Title

Gen. Dentist/Owner

Phone

(502) 245-8627

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charles Bryan Fox, DMD

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1215044664
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407968159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N EVERGREEN RD",
            "address_2": "SUITE 102",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431487",
            "telephone_number": "502-245-7103",
            "fax_number": "502-253-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 OLD BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914435",
            "telephone_number": "502-231-4633",
            "fax_number": "502-231-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "GEN. DENTIST/OWNER",
        "authorized_official_telephone_number": "502-245-8627",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morshedeye
• Ahmad Michael Morshedi, O.D.
• William Garrett Mortell, DO
• Alison Mortensen
• Mortenson Family Dental
• Mortenson Family Dental
• Mortenson Family Dental
• Mortenson Family Dental Center
• Mortenson Family Dental Center - Dixie at Rockford Lane, PLLC
• Mortenson Family Dental Center - Jeffersontown Central, PLLC

• All providers in Louisville, KY
• Dental Clinic/Center in Kentucky

• 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.