Individual provider Active NPI

Marsha G McIntyre, DMD

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1740354364
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7865 Issued in KY
Practice address
291 N Hubbards LN Ste 110
Louisville, KY 40207-8209
Phone
(502) 897-6282
Fax
(502) 897-6286
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7865 KY Primary

Addresses

Primary practice location

291 N Hubbards LN Ste 110
Louisville, KY 40207-8209

Mailing address

291 N Hubbards LN Ste 110
Louisville, KY 40207-8209
Phone (502) 897-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7865KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
McIntyre Family Dental, Inc CurrentSince Jun 15, 2021 Accepting new patients

Locations

291 N Hubbards Ln
Ste 110
Louisville, KY 40207
Phone (502) 897-6282

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1740354364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N HUBBARDS LN STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402078209",
            "telephone_number": "502-897-6282",
            "fax_number": "502-897-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N HUBBARDS LN STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402078209",
            "telephone_number": "502-897-6282",
            "fax_number": "502-897-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "MARSHA",
        "middle_name": "G",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7865",
            "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 Jun 10, 2021; 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.