Active NPI
Sandro Basso Bitencourt, DDS
- Prosthodontics
- Louisville, KY
National Provider Identifier
1760182570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 10843
- Practice address
- 501 S Preston St
Louisville, KY 40202-1701 - Phone
- (502) 852-5401
- NPI assigned
- Mar 9, 2023
- Last updated
- Mar 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 10843 | KY | Primary |
Addresses
Primary practice location
501 S Preston St
Louisville, KY 40202-1701
Mailing address
1221 E Broadway Apt 323
Louisville, KY 40204-2540
Phone (502) 533-8597
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10843 | KY | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1760182570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 E BROADWAY APT 323",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402042540",
"telephone_number": "502-533-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S PRESTON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021701",
"telephone_number": "502-852-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITENCOURT",
"first_name": "SANDRO",
"middle_name": "BASSO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-09",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "KY",
"license": "10843",
"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 Mar 9, 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.