Individual provider Active NPI

Christina Hamby, DMD

  • Dentist
  • Louisville, KY
National Provider Identifier
1932848033
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10772 Issued in KY
Practice address
710 Breckenridge LN Ste 101
Louisville, KY 40207-4504
Phone
(502) 363-2344
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10772 KY Primary

Addresses

Primary practice location

710 Breckenridge LN Ste 101
Louisville, KY 40207-4504

Mailing address

410 Mockingbird Valley Rd Apt 10
Louisville, KY 40207-1361
Phone (270) 836-7576

Other identifiers 1

IdentifierTypeStateIssuer
10772OtherKYKENTUCKY BOARD OF DENTISTRY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523003455 KY Order and Referring Only - DentistPractitioner - Dentist 3072955921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10772KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1932848033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MOCKINGBIRD VALLEY RD APT 10",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071361",
            "telephone_number": "270-836-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BRECKENRIDGE LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074504",
            "telephone_number": "502-363-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBY",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF DENTISTRY",
            "identifier": "10772",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.