Active NPI
Connor Flynn Schwartz
- General Practice Dentistry
- Louisville, KY
National Provider Identifier
1659954279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10600
- Practice address
- 1005 N Dupont SQ
Louisville, KY 40207-4663 - Phone
- (502) 893-5677
- NPI assigned
- May 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 10600 | KY | Primary |
Addresses
Primary practice location
1005 N Dupont SQ
Louisville, KY 40207-4663
Mailing address
1005 N Dupont SQ
Louisville, KY 40207-4663
Phone (502) 893-5677
Other practice location 1
501 S Preston St
Louisville, KY 40202-1701
Phone (502) 852-3534
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210902001198 | KY | Order and Referring Only - Dentist | 0941606750 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dryden Stiens & Associates | Past | 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": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1659954279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 N DUPONT SQ",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074663",
"telephone_number": "502-893-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N DUPONT SQ",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074663",
"telephone_number": "502-893-5677"
}
],
"practiceLocations": [
{
"address_1": "501 S Preston St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021701",
"country_code": "US",
"telephone_number": "502-852-3534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "CONNOR",
"middle_name": "FLYNN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-02",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "10600",
"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 Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.