DRDP PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8982 Issued in KY

Legal business name

DRDP PLLC

Practice address

8700 Dixie Hwy
Louisville, KY 40258-1004

Phone

(502) 935-0505

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Mikal Lindman

Title

Member

Phone

(502) 935-0505

Specialties & licenses 2

Addresses

Other names 1

• Comfort Dental Dixie Highway Doing business as

Locations

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1427348697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402581004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402581004",
            "telephone_number": "502-935-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRDP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "LINDMAN",
        "authorized_official_first_name": "MIKAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-935-0505"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8982",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Dixie Highway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 8, 2011; 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.