Individual provider Active NPI

Richard A. Adrio, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Louisville, KY
National Provider Identifier
1902990401
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
568 Issued in KY
Practice address
209 Breckenridge Lane
Louisville, KY 40207
Phone
(502) 895-0474
Fax
(502) 895-2223
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121004000434 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224287388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5561KYMDChiropractor
567KYMDPeriodontist
568KYMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5561 KY
Periodontics 1223P0300X 567 KY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 568 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

209 Breckenridge Lane
Louisville, KY 40207

Mailing address

209 Breckenridge Lane
Louisville, KY 40207
Phone (502) 895-0474

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902990401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BRECKENRIDGE LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-0474",
            "fax_number": "502-895-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BRECKENRIDGE LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-0474",
            "fax_number": "502-895-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADRIO",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5561",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "567",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.