Individual provider Active NPI

Meredith Louisville, DDS

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1851033062
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1901 First Avenue
15TH Floor Room 15B-1
New York, NY 10029-2065
Phone
(212) 423-6271
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY Primary

Addresses

Primary practice location

1901 First Avenue
15TH Floor Room 15B-1
New York, NY 10029-2065

Mailing address

1901 First Avenue
15TH Floor Room 15B-1
New York, NY 10029-2065
Phone (212) 423-6271

Other practice location 1

620 W 42nd St Apt S3C
New York, NY 10036-2065
Phone (863) 514-5515

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

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1851033062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 FIRST AVENUE",
            "address_2": "15TH FLOOR ROOM 15B-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292065",
            "telephone_number": "212-423-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FIRST AVENUE",
            "address_2": "15TH FLOOR ROOM 15B-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292065",
            "telephone_number": "212-423-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 W 42nd St Apt S3C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100362065",
            "country_code": "US",
            "telephone_number": "863-514-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUISVILLE",
        "first_name": "MEREDITH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.