Organization Active NPI

Strathmoor Family Dentistry PLLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1700342201
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.