Active NPI
Jenna R Schulten, DMD
- Pediatric Dentistry
- Louisville, KY
National Provider Identifier
1821317132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8868
- Practice address
- 1001 N Dupont SQ
Louisville, KY 40207-4612 - Phone
- (270) 789-7890
- NPI assigned
- May 26, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8868 | KY | Primary |
Addresses
Primary practice location
1001 N Dupont SQ
Louisville, KY 40207-4612
Mailing address
1103 Delor Ave
Louisville, KY 40217-2226
Phone (270) 789-7890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100151020 | Medicaid | KY |
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 |
|---|---|---|---|
| 8868 | KY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupont Pediatric Dentistry | Pediatric Dentistry | Current | Accepting new patients |
Locations
1001 N DuPont Sq
Louisville, KY 40207
Phone (502) 895-2334
3934 Dutchmans Ln
Louisville, KY 40207
Phone (502) 897-0625
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.
-
- Pediatric Dentistry
- Louisville, KY
- NPI 1255757852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1821317132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 DELOR AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402172226",
"telephone_number": "270-789-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N DUPONT SQ",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074612",
"telephone_number": "270-789-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTEN",
"first_name": "JENNA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "8868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100151020",
"state": "KY"
}
],
"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 Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.