Sherry C. Babbage Melisizwe, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

5376 Issued in KY

Practice address

2500 W Broadway
Louisville, KY 40211-1081

Phone

(502) 776-1754

Fax

(502) 778-2301

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shawnee Christian Healthcare Center Inc

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1225333743

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1831241173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111081",
            "telephone_number": "502-776-1754",
            "fax_number": "502-778-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111081",
            "telephone_number": "502-776-1754",
            "fax_number": "502-778-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABBAGE MELISIZWE",
        "first_name": "SHERRY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60053766",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B & S Medicaid Transportation Services Inc.
• B F P D
• Julie Grace Baatuma, APRN
• Samer Jad Baba, D.O.
• Muhammad Babar, M.D.
• Christopher C Babcock, DMD MD
• Glenda C Babcock, APRN
• Karen W. Babcock, DMD
• Samantha Paige Babey, DPT
• Scott Brian Babin, M.D.

• All providers in Louisville, KY
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.