Distler Family Dentistry PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DISTLER FAMILY DENTISTRY PLLC

Practice address

2221 Meadow Dr
Louisville, KY 40218-1330

Phone

(502) 458-7744

Fax

(502) 458-7707

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Anthony Distler, DMDNPI 1407210289

Title

Owner Dentist

Phone

(502) 523-2433

Specialties & licenses 1

Addresses

Other names 1

• Distler Family Dentistry Doing business as

Locations

Practitioners 2

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

• Anthony Distler, DMD

  • Student in an Organized Health Care Education/Training Program
  • Louisville, KY
  • NPI 1407210289
  NPD Authorized official
• Walter David Distler, DMD

  • Dentist
  • Louisville, KY
  • NPI 1487779401
  NPD (past)

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1710725809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 MEADOW DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181330",
            "telephone_number": "502-458-7744",
            "fax_number": "502-458-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 MEADOW DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181330",
            "telephone_number": "502-458-7744",
            "fax_number": "502-458-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTLER FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "DISTLER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "502-523-2433",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distler Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whelan Kassteel Disney, DPT
• Dispatch Health Idaho PC
• Dispatchhealth-Idaho PC
• Dispatchhealth-Idaho PC
• Derek Disponette
• Anthony Distler, DMD
• Christopher Distler, DPT
• Dana J Distler, M.D.
• Distler, Huntington & Blair PSC
• Mark W Distler, M.D.

• Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.