Christopher Scott Corder, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7645 Issued in KY

Practice address

120 W Stephen Foster Ave Ste 104
Bardstown, KY 40004-1457

Phone

(502) 348-5800

Fax

(502) 722-2116

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Patrick L. Keesee

  • Dentist
  • Bardstown, KY
  • NPI 1578801072
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508856196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 104",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-348-5800",
            "fax_number": "502-348-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 104",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-348-5800",
            "fax_number": "502-722-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL PASSPORT, KY",
            "identifier": "10964",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000395",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ashley Coomes
• Tyler Coomes
• Charity Cooper
• Amy L Corbett, PMHNP-BC, APRN
• Alexandrea Marie Corbin
• Jessica Costello
• Dianna Cothern, CSA
• County of Nelson
• Donald Coyle, RPSGT
• Penny Payne Crain, D.M.D.

• General Practice Dentistry in Bardstown, KY
• Providers in Bardstown, 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 Jul 21, 2022; 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.