Ann Beth Mudd, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6434 Issued in KY

Practice address

3516 Frankfort Ave
Louisville, KY 40207-2561

Phone

(502) 897-6453

Fax

(502) 897-6453

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kirchner Dental of Kentucky

  • Dentist
  • Louisville, KY
  • NPI 1275408536
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1679564454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072561",
            "telephone_number": "502-897-6453",
            "fax_number": "502-897-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072561",
            "telephone_number": "502-897-6453",
            "fax_number": "502-897-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "ANN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Tinsley Mucker
• Kia Mucker, LCSW
• Abigail Justine Mudd, RD
• Alexis Mudd, LCSW
• Amy Mudd
• Corey Mudd, M.ED.
• Debra Kay Mudd, NP
• Glennesha Mudd, CSW
• John Paul Mudd, PMHNP-BC
• Kara Travis Mudd, PA-C

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.

Verify at the official NPI Registry.