Children's Special Care Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7297 Issued in KY

Legal business name

CHILDREN'S SPECIAL CARE DENTISTRY

Practice address

2301 Meadow Dr
Louisville, KY 40218-1338

Phone

(502) 451-8900

NPI assigned

Dec 19, 2007

Last updated

Dec 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Marie Abang

Title

Office Manager

Phone

(502) 451-8900

Specialties & licenses 1

Addresses

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.

• Roderick Noel Abang, D.M.D

  • Pediatric Dentistry
  • Louisville, KY
  • NPI 1720079783
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1619151180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MEADOW DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MEADOW DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181338",
            "telephone_number": "502-451-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SPECIAL CARE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "ABANG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-451-8900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Childers, D.M.D., M. S.
• Monica Childers
• Children's Health PLLC
• Children's Heart Specialists, PSC
• Children's Safe Haven Inc
• Children's Therapy Center, PSC
• Childrens Eye Specialists PLLC
• Alisa Childress
• Faith Childress, PHARMD
• Thomas Wayne Childress Jr., D.P.M

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, 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 Dec 19, 2007; 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.