Active NPI
Strathmoor Family Dentistry PLLC
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
National Provider Identifier
1700342201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- STRATHMOOR FAMILY DENTISTRY PLLC
- Practice address
- 2811 Bardstown Rd
Louisville, KY 40205-2677 - Phone
- (502) 458-1114
- NPI assigned
- Feb 20, 2019
- Organization subpart
- Yes
- Parent organization
- STRATHMOOR FAMILY DENTISTRY PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Joseph Costello, DMD
- Title
- Dentist/Manager
- Phone
- (502) 458-1114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2811 Bardstown Rd
Louisville, KY 40205-2677
Mailing address
2811 Bardstown Rd
Louisville, KY 40205-2677
Phone (502) 458-1114
National Provider Directory
National Provider Directory- Part of
- Strathmoor Family Dentistry PLLC
Locations
2811 Bardstown Rd
Louisville, KY 40205
Phone (502) 308-4546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550620800000",
"number": "1700342201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052677",
"telephone_number": "502-458-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052677",
"telephone_number": "502-458-1114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRATHMOOR FAMILY DENTISTRY PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STRATHMOOR FAMILY DENTISTRY PLLC",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A",
"authorized_official_last_name": "COSTELLO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "DENTIST/MANAGER",
"authorized_official_telephone_number": "502-458-1114",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"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 Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.