Michael Childers, D.M.D., M. S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6725 Issued in KY

Practice address

644 Phillips LN
Suite 1002
Louisville, KY 40209-1312

Phone

(502) 375-0095

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932263035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 PHILLIPS LN",
            "address_2": "SUITE 1002",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402091312",
            "telephone_number": "502-375-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 PHILLIPS LN",
            "address_2": "SUITE 1002",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402091312",
            "telephone_number": "502-375-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M. S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "6725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinanu Chidi
• Rika Chihara, PHARM.D.
• Child Developmental Therapy, Inc.
• Child First Developmental Services
• Hayley Childers, OD
• Monica Childers
• Children'S Health PLLC
• Children'S Heart Specialists, PSC
• Children'S Safe Haven Inc
• Children'S Special Care Dentistry

• Endodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Endodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.