Strathmoor Family Dentistry PLLC

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

Last updated

Feb 20, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

STRATHMOOR FAMILY DENTISTRY PLLCAs reported in NPPES

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

Authorized official

Name

Christopher Joseph Costello, DMDNPI 1093185001

Title

Dentist/Manager

Phone

(502) 458-1114

Specialties & licenses 1

Addresses

Part of

Strathmoor Family Dentistry PLLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Costello, D.M.D.

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1093185001
  Authorized official Same address or phone

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": []
}

• Samantha Straight
• Kathryn Lynn Strait, APRN
• Emma Jordyn Stramge
• Catherine Marie Strange, OTR
• Joseph Strano, PHARMD
• Barbara M. Stratton, DMD
• Matthew Stratton, DMD, MD
• Sofie Stratton
• Hannah Marie Straub, LMHC
• Melinda Straub, MS CF-SLP

• Durable Medical Equipment & Medical Supplies in Louisville, KY
• Providers in Louisville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• 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.