L. David O'Banion, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5869 Issued in KY

Practice address

138 N Evergreen Rd
Suite 103
Louisville, KY 40243-1410

Phone

(052) 245-3707

Fax

(502) 245-2671

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962545277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N EVERGREEN RD",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431410",
            "telephone_number": "052-245-3707",
            "fax_number": "502-245-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N EVERGREEN RD",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431410",
            "telephone_number": "052-245-3707",
            "fax_number": "502-245-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANION",
        "first_name": "L.",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5869",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "DN 10956",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "12010515A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chidiebere Nickson Nwosu
• Victor I Nwosu
• Nyan & Associates, PSC
• John Aaron Nyland, DPT, SCS, EDD., ATC
• Jacques Nzabonimpa
• Andrea M O'Brien, OTR/L, CLT
• Celia M O'Brien, M.D.
• Daniel J O'Brien, M.D.
• Emily O'Brien
• Emily Isabella O'Brien, APRN

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.