Mortenson Family Dental Center- Ft Wright PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MORTENSON FAMILY DENTAL CENTER- FT WRIGHT PLLC

Practice address

1983 Dixie Hwy
Ft Mitchell, KY 41011

Phone

(502) 955-7102

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Kathie Armstrong

Title

Director of Credentialing

Phone

(502) 254-8501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1629417183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 DIXIE HWY",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "502-955-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 DIXIE HWY",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "502-955-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSON FAMILY DENTAL CENTER- FT WRIGHT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "502-254-8501"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Mekkam, MD
• Jennifer Mercado, O.D.
• Angela Denise Miller, APRN-CNP
• Shelby Mitchell, OTD, OTR/L
• Michael E Molony, DMD PSC
• Natalie Marie Mulholland, OTD, OTR/L
• Constance Nauert
• Northern Kentucky Home Health Care
• Northern Kentucky Psychiatry Assoc
• Mary Oldiges

• General Practice Dentistry in Ft Mitchell, KY
• Providers in Ft Mitchell, 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 Jun 18, 2013; 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.