Organization Active NPI

Joseph J. Mascaro, DMD,PSC

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
National Provider Identifier
1487737672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4617 Issued in KY
Legal business name
JOSEPH J. MASCARO, DMD,PSC
Doing business as
Louisville Center for Face, Jaw, and Mouth Surgery
Practice address
8516 Preston Hwy
Louisville, KY 40219-5302
Phone
(502) 969-2523
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph John Mascaro, DMDNPI 1588747687
Title
Oresident
Phone
(502) 429-6506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 4617 KY Primary

Addresses

Primary practice location

8516 Preston Hwy
Louisville, KY 40219-5302

Mailing address

2015 Herr LN
Suite E
Louisville, KY 40222-6567
Phone (502) 429-6506

Other names 1

  • Louisville Center for Face, Jaw, and Mouth Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

2015 Herr Ln
Ste E
Louisville, KY 40222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487737672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 HERR LN",
            "address_2": "SUITE E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226567",
            "telephone_number": "502-429-6506",
            "fax_number": "502-429-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8516 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195302",
            "telephone_number": "502-969-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J. MASCARO, DMD,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASCARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ORESIDENT",
        "authorized_official_telephone_number": "502-429-6506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Center for Face, Jaw, and Mouth Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • 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.