NPIMap

Organization Active NPI

Myron F Shuster DMD PSC

  • Pediatric Dentistry
  • Louisville, KY
National Provider Identifier
1548620560
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4639 Issued in KY
Legal business name
MYRON F SHUSTER DMD PSC
Practice address
3101 Breckenridge LN Ste 4B
Louisville, KY 40220-2797
Phone
(502) 451-1020
NPI assigned
Mar 3, 2016
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Myron ShusterNPI 1679640114
Title
President
Phone
(502) 451-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 4639 KY Primary

Addresses

Primary practice location

3101 Breckenridge LN Ste 4B
Louisville, KY 40220-2797

Mailing address

3101 Breckenridge LN Ste 4B
Louisville, KY 40220-2797
Phone (502) 451-1020

National Provider Directory

National Provider Directory
Tax ID family
Myron F Shuster DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1548620560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN STE 4B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202797",
            "telephone_number": "502-451-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN STE 4B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202797",
            "telephone_number": "502-451-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON F SHUSTER DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "SHUSTER",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-451-1020"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 3, 2016; 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.