Market St Dental Office PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARKET ST DENTAL OFFICE PSC

Practice address

2410 West Market St
Louisville, KY 40212

Phone

(502) 778-5141

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rodney Brent Fultz, DMD

Title

Sec Treas

Phone

(502) 778-5141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Don Charles Kean, D.M.D.

  • Dentist
  • Louisville, KY
  • NPI 1619131497

  General Practice

  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1477605426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 WEST MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40212",
            "telephone_number": "502-778-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 WEST MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40212",
            "telephone_number": "502-778-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET ST DENTAL OFFICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "502-778-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61942983",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Markert Family Practice PSC
• D'Ann B Markert, PAC
• Jacob Kosse Markert, MS
• John L Markert, MD
• Tamara L Markert, OTRL
• Market Street Denture Centerllc
• Sarah Markgraf
• Eva R Markham, ED D
• Michael Lane Markham, M.ED.
• Kathryn Lee Markle-Cude

• 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 Dec 18, 2007; 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.