Individual provider Active NPI

Courtney Nicolle Hardin

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1538365499
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8490 Issued in KY
Practice address
3977 Seventh Street Road
Louisville, KY 40216
Phone
(502) 449-1961
Fax
(502) 449-9866
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8490 KY Primary

Addresses

Primary practice location

3977 Seventh Street Road
Louisville, KY 40216

Mailing address

3977 Seventh Street Road
Louisville, KY 40216
Phone (502) 449-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002937 KY Order and Referring Only - DentistPractitioner - Dentist 2062700891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Dental of Kentucky General Practice PastSince Apr 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1538365499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3977 SEVENTH STREET ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40216",
            "telephone_number": "502-449-1961",
            "fax_number": "502-449-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3977 SEVENTH STREET ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40216",
            "telephone_number": "502-449-1961",
            "fax_number": "502-449-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "COURTNEY",
        "middle_name": "NICOLLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.