Organization Active NPI

Endodontic Associates of Louisville PLLC

  • Endodontics
  • Louisville, KY
National Provider Identifier
1720096951
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7964 Issued in KY
Legal business name
ENDODONTIC ASSOCIATES OF LOUISVILLE PLLC
Practice address
7214 Dixie Hwy
Louisville, KY 40258
Phone
(502) 937-3998
Fax
(502) 937-3910
NPI assigned
Aug 3, 2006
Last updated
Oct 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Dr. Emily Earle Kelly, DMDNPI 1851459028
Title
Owner/Dentist
Phone
(502) 937-3998

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7964 KY Primary

Addresses

Primary practice location

7214 Dixie Hwy
Louisville, KY 40258

Mailing address

7214 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3998

National Provider Directory

National Provider Directory

Locations

7214 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3998

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1720096951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40258",
            "telephone_number": "502-937-3998",
            "fax_number": "502-937-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40258",
            "telephone_number": "502-937-3998",
            "fax_number": "502-937-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF LOUISVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "EARLE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "502-937-3998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "7964",
            "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 Oct 13, 2017; 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.