Jansen Craig Diener, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23832 Issued in KY

Practice address

500 W Main St
NCT 20
Louisville, KY 40202-2946

Phone

(502) 580-4070

Fax

(502) 508-4070

NPI assigned

Feb 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1922304138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "NCT 20",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022946",
            "telephone_number": "502-580-4070",
            "fax_number": "502-508-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "NCT 20",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022946",
            "telephone_number": "502-580-4070",
            "fax_number": "502-508-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENER",
        "first_name": "JANSEN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01065419A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "23832",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101244204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Binns Didyk, DPM
• Paul D Diebold, M.D.
• Leslie Graves Dieckhoff, ARNP
• Hannah Diehl
• Raeko Lee Diemer, LMFT
• James A. Dienes, M.D.
• Daniel Dierfeldt, D.O.
• Abigail Ann Dierking, DDS
• Katrina Louise Diersing, M.S., CCC-SLP
• Zachary Clayborne Dietrich, PSY.D.

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.