Hernandez Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8817 Issued in KY

Legal business name

HERNANDEZ DENTAL CARE

Practice address

9204 Taylorsville Rd Ste 119
Louisville, KY 40299-1788

Phone

(502) 451-3931

Fax

(502) 451-3933

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Hernandez, DMD

Title

Dentist/Owner

Phone

(502) 451-3931

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922521285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 TAYLORSVILLE RD STE 119",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991788",
            "telephone_number": "502-451-3931",
            "fax_number": "502-451-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 TAYLORSVILLE RD STE 119",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991788",
            "telephone_number": "502-451-3931",
            "fax_number": "502-451-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "502-451-3931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "8817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Ryann Herman
• Sherry Ann Herman, APRN
• Stacy E Hermann
• Yaleima Hernadez, CMA
• Gabriela Hernandez Blanco
• Leandro Ernesto Hernandez Diaz, APRN
• Giselle Hernandez Quiles, CRNA
• Madelys Hernandez Urquiaga, APRN
• Laura Hernandez Violante, DPT
• Alexi Ramon Hernandez, MD

• Dental Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.