Mortenson Family Dental Center Hilliview-Okolona PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MORTENSON FAMILY DENTAL CENTER HILLIVIEW-OKOLONA PLLC

Practice address

5201 Commerce Crossing Drive
Louisville, KY 40229-2183

Phone

(502) 966-8160

Fax

(502) 966-8399

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

Stephen James

Title

Cfo

Phone

(502) 254-8504

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.

• Mark Mortenson, DMD

  • General Practice Dentistry
  • Shepherdsville, KY
  • NPI 1811228307
  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": "1403136000000",
    "number": "1467564112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169",
            "telephone_number": "502-254-8501",
            "fax_number": "502-805-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 COMMERCE CROSSING DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292183",
            "telephone_number": "502-966-8160",
            "fax_number": "502-966-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSON FAMILY DENTAL CENTER HILLIVIEW-OKOLONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Mortenson Family Dental Center- Springhurst PLLC
• Mortenson Family Dental Center-Dupont,PLLC
• Mortenson Family Dental Center-Forest Green, PLLC
• Mortenson Family Dental Center-Highlands PLLC
• Mortenson Family Dental Center-Jeffersontown, PLLC

• 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 Jun 19, 2014; 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.