Active NPI
Bluegrass Dental Anesthesia, LLC
- Dental Anesthesiology
- Louisville, KY
National Provider Identifier
1710679105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- Legal business name
- BLUEGRASS DENTAL ANESTHESIA, LLC
- Practice address
- 3001 Hayfield Dr
Louisville, KY 40205-2809 - Phone
- (408) 314-4968
- NPI assigned
- May 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Guthrie, DMD
- Title
- Manager/ Dentist Anesthesiologist
- Phone
- (408) 314-4968
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | Primary | ||
| Anesthesiology Physician | 207L00000X |
Addresses
Primary practice location
3001 Hayfield Dr
Louisville, KY 40205-2809
Mailing address
3001 Hayfield Dr
Louisville, KY 40205-2809
Phone (408) 314-4968
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1396009338
Dental Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1710679105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 HAYFIELD DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052809",
"telephone_number": "408-314-4968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HAYFIELD DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052809",
"telephone_number": "408-314-4968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEGRASS DENTAL ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "GUTHRIE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER/ DENTIST ANESTHESIOLOGIST",
"authorized_official_telephone_number": "408-314-4968",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
}
],
"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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.