Cobalt Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COBALT DENTAL CARE, LLC

Practice address

225 S Hurstbourne Pkwy Ste 102
Louisville, KY 40222-4929

Phone

(502) 429-9400

Fax

(502) 429-9449

NPI assigned

Jan 29, 2019

Organization subpart

No

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

Authorized official

Name

Adam Nischwitz, DMD

Title

Owner

Phone

(502) 429-9400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1447714944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S HURSTBOURNE PKWY STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224929",
            "telephone_number": "502-429-9400",
            "fax_number": "502-429-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S HURSTBOURNE PKWY STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224929",
            "telephone_number": "502-429-9400",
            "fax_number": "502-429-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBALT DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "NISCHWITZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-429-9400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glena Alyssa Co-Sarino, RN
• Matthew Co-Sarino, PHYSICIAN ASSISTANT
• Charlie Nicole Coakley
• Patricia Coan, M.S.
• Coastal Kids Dental
• Juliana Cobb
• Mahoney E Cobb, M.D.
• Vickie Cobble-Forehand, CMA
• Damon Cobble, LMFT
• Anna Coble

• Dental Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.