Individual provider Active NPI

Sean Alexander Aiken, DMD, MS

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1548751902
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10085 Issued in KY
Practice address
139 Saint Matthews Ave
Louisville, KY 40207-3158
Phone
(502) 895-3774
NPI assigned
May 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10085 KY
General Practice Dentistry 1223G0001X 10085 KY Primary

Addresses

Primary practice location

139 Saint Matthews Ave
Louisville, KY 40207-3158

Mailing address

139 Saint Matthews Ave
Louisville, KY 40207-3158
Phone (502) 895-3774

Other practice location 1

810 Morton Ave
Bardstown, KY 40004-2549
Phone (502) 348-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10085KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Family Dentistry CurrentSince Jan 19, 2020 Accepting new patients

Locations

139 Saint Matthews Ave
Louisville, KY 40207
Phone (502) 895-3774

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1548751902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SAINT MATTHEWS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073158",
            "telephone_number": "502-895-3774",
            "fax_number": "502-895-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SAINT MATTHEWS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073158",
            "telephone_number": "502-895-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Morton Ave",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042549",
            "country_code": "US",
            "telephone_number": "502-348-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIKEN",
        "first_name": "SEAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10085",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10085",
            "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 Jan 12, 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.