Active NPI
Jeffrey Lynn Echelberger, DDS
- Dentist
- Louisville, KY
National Provider Identifier
1932277431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6256
- Practice address
- 3201 Hikes Lane
Louisville, KY 40220 - Phone
- (502) 452-1716
- Fax
- (502) 452-1166
- NPI assigned
- Dec 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6256 | KY | Primary |
Addresses
Primary practice location
3201 Hikes Lane
Louisville, KY 40220
Mailing address
3201 Hikes Lane
Louisville, KY 40220
Phone (502) 452-1716
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170127001069 | KY | Order and Referring Only - Oral Surgery | 8224218185 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6256 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932277431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 HIKES LANE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40220",
"telephone_number": "502-452-1716",
"fax_number": "502-452-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 HIKES LANE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40220",
"telephone_number": "502-452-1716",
"fax_number": "502-452-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHELBERGER",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "6256",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.