Organization Active NPI

Foundations Family and Implant Dentistry

  • Dental Clinic/Center
  • Louisville, KY
National Provider Identifier
1699296335
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FOUNDATIONS FAMILY AND IMPLANT DENTISTRY
Practice address
11416 Shelbyville Rd
Louisville, KY 40243-1306
Phone
(502) 245-8442
Fax
(502) 245-8440
NPI assigned
Jul 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Dr. Render Howard Parkman, DMDNPI 1871813030
Title
Owner
Phone
(502) 895-8261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X KY Primary

Addresses

Primary practice location

11416 Shelbyville Rd
Louisville, KY 40243-1306

Mailing address

3618 Lexington Rd
Louisville, KY 40207-2950
Phone (502) 895-8261

Other practice location 1

3618 Lexington Rd
Louisville, KY 40207-2950
Phone (502) 895-8261

Other names 1

  • Foundations Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11416 Shelbyville Rd
Louisville, KY 40243
Phone (502) 245-8442

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1699296335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 LEXINGTON RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072950",
            "telephone_number": "502-895-8261",
            "fax_number": "502-893-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431306",
            "telephone_number": "502-245-8442",
            "fax_number": "502-245-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3618 Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402072950",
            "country_code": "US",
            "telephone_number": "502-895-8261",
            "fax_number": "502-893-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS FAMILY AND IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "PARKMAN",
        "authorized_official_first_name": "RENDER",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-895-8261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foundations Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2022; 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.