NPIMap

Organization Active NPI

University of Louisville Research Foundation Inc

Doing business as Children and Youth Dental Clinic

  • Dental Clinic/Center
  • Louisville, KY
National Provider Identifier
1952532665
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC
Doing business as
Children and Youth Dental Clinic
Practice address
555 S Floyd St
Louisville, KY 40202-3822
Phone
(502) 852-5588
Fax
(502) 852-5630
NPI assigned
Jul 29, 2009
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Lee Ann Mingus, CPC
Title
Insurance Billing Manager
Phone
(502) 852-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

555 S Floyd St
Louisville, KY 40202-3822

Mailing address

555 S Floyd St
Louisville, KY 40202-3822
Phone (502) 852-5588

Other identifiers 1

IdentifierTypeStateIssuer
45659976MedicaidKY

Other names 1

  • Children and Youth Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ of Louisville FP131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1952532665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S FLOYD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023822",
            "telephone_number": "502-852-5588",
            "fax_number": "502-852-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S FLOYD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023822",
            "telephone_number": "502-852-5588",
            "fax_number": "502-852-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "MINGUS",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "INSURANCE BILLING MANAGER",
        "authorized_official_telephone_number": "502-852-5588",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45659976",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children and Youth Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2011; 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.