Active NPI
Lee Sidney Mayer, DMD
- General Practice Dentistry
- Louisville, KY
National Provider Identifier
1689663916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5017
- Practice address
- 501 S. Preston St.
Louisville, KY 40292-0001 - Phone
- (502) 852-1209
- Fax
- (502) 852-1317
- NPI assigned
- Oct 19, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5017 | KY | Primary |
Addresses
Primary practice location
501 S. Preston St.
Louisville, KY 40292-0001
Mailing address
501 South Preston St.
Louisville, KY 40292-0001
Phone (502) 852-1209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005017600 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689663916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SOUTH PRESTON ST.",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402920001",
"telephone_number": "502-852-1209",
"fax_number": "502-852-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S. PRESTON ST.",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402920001",
"telephone_number": "502-852-1209",
"fax_number": "502-852-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "LEE",
"middle_name": "SIDNEY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "5017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005017600",
"state": "KY"
}
],
"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 13, 2026; 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.