Metro Louisville Endodontics,LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6102 Issued in KY

Legal business name

METRO LOUISVILLE ENDODONTICS,LLC

Practice address

3036 Breckenridge LN Ste 103
Louisville, KY 40220-2196

Phone

(502) 495-1822

Fax

(502) 495-1825

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Earl D Walker, D.M.D.NPI 1366524928

Title

Endodontist

Phone

(502) 495-1822

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Earl D Walker, DMD

  • Endodontics
  • Louisville, KY
  • NPI 1366524928
  NPD (past) Authorized official
• Austin Carr

  • Endodontics
  • New Albany, IN
  • NPI 1427398866
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720290026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 BRECKENRIDGE LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202196",
            "telephone_number": "502-495-1822",
            "fax_number": "502-495-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 BRECKENRIDGE LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202196",
            "telephone_number": "502-495-1822",
            "fax_number": "502-495-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO LOUISVILLE ENDODONTICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "502-495-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "6102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "6102",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia R Metcalf, LCSW
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• Mary Jo Metrick, ARNP MSN
• Metro Dental Group, PLLC.
• Metro Hematology Oncology, PLLC
• Metro Pediatric Associates PLLC
• Metro Providers, PLLC (Dynamic Medical & Rehab)
• Metro Urgent Care at Dixie, LLC (Metro Urgent Care LLC)
• Metro Urgent Care PLLC
• Metropolitan Ankle and Foot Center Inc

• Endodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Endodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.