Individual provider Active NPI

Michael L. Hunt, D.M.D.

  • General Practice Dentistry
  • Bardstown, KY
National Provider Identifier
1972652642
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7225 Issued in KY
Practice address
1000 E John Rowan Blvd Ste 101
Bardstown, KY 40004-2060
Phone
(502) 348-2589
NPI assigned
Jan 10, 2007
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7225 KY Primary

Addresses

Primary practice location

1000 E John Rowan Blvd Ste 101
Bardstown, KY 40004-2060

Mailing address

4701 Southern Pkwy
Louisville, KY 40214-1424
Phone (502) 366-4121

Other practice location 1

4701 Southern Pkwy
Louisville, KY 40214-1424
Phone (502) 366-4121

Other identifiers 1

IdentifierTypeStateIssuer
0134459000MedicaidWV

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160401000916 IN Order and Referring Only - DentistPractitioner - Dentist 4880991017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7225KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Family Dentistry CurrentSince Aug 2, 2020 Accepting new patients
William Craig Bowen DDS, PLLC General Practice Past Accepting new patients

Locations

1000 E John Rowan Blvd
Ste 101
Bardstown, KY 40004
Phone (502) 348-2589

4701 Southern Pkwy
Louisville, KY 40214
Phone (502) 366-4121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1972652642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141424",
            "telephone_number": "502-366-4121",
            "fax_number": "304-697-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E JOHN ROWAN BLVD STE 101",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042060",
            "telephone_number": "502-348-2589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Southern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402141424",
            "country_code": "US",
            "telephone_number": "502-366-4121",
            "fax_number": "304-697-2504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134459000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.