Active NPI
Jobin K Joseph
- Dentist
- Louisville, KY
National Provider Identifier
1922992585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11419
- Practice address
- 6810 Dixie Hwy
Louisville, KY 40258-3914 - Phone
- (502) 585-5351
- NPI assigned
- Jun 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 11419 | KY | Primary |
Addresses
Primary practice location
6810 Dixie Hwy
Louisville, KY 40258-3914
Mailing address
14827 SW 35TH St
Davie, FL 33331-2721
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11419 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1922992585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14827 SW 35TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333312721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6810 DIXIE HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583914",
"telephone_number": "502-585-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "JOBIN",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "11419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.