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GLENN RUDOLPH D.M.D.
NPI 1033482260
Dentist in Louisville, KY

Active since February 19, 2012PECOS Enrolled
3707 CHAMBERLAIN LN, SUITE 103, LOUISVILLE, KY 40241(502) 412-2222 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn Rudolph D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN RUDOLPH D.M.D. (NPI 1033482260) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (9731) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033482260
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameGLENN RUDOLPHCredential: D.M.D.
Location Address3707 CHAMBERLAIN LN, SUITE 103Louisville, KY 40241-2001
Mailing Address1802 Strand AveLouisville, KY 40205-1432 · (256) 762-8908
Phone(502) 412-2222
Sole ProprietorYes
Enumeration DateFebruary 19, 2012
Last NPPES UpdateJuly 6, 2016
✔ NPI 1033482260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in KY · 9731✔ Licensed in AL · 6014
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3707 CHAMBERLAIN LN, Louisville, KY 40241
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Rudolph D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY RHODEN CLARK D.M.D
Dentist
3707 CHAMBERLAIN LN, SUITTE 103
LOUISVILLE, KY 40241
Jefferson County (502) 412-2222
DR PAUL J CONSTANTE DC PSC
Chiropractor (Rehabilitation)
3707 CHAMBERLAIN LN, SUITE 101
LOUISVILLE, KY 40241
Jefferson County (502) 426-9200
METRO PROVIDERS, PLLC
General Practice
3707 CHAMBERLAIN LN, SUITE 101
LOUISVILLE, KY 40241
Jefferson County (502) 426-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Rudolph's NPI number?

The NPI number for Glenn Rudolph is 1033482260. It was assigned to this individual provider in the NPPES registry on February 19, 2012.

Where is Glenn Rudolph located?

Glenn Rudolph practices at 3707 Chamberlain Ln Suite 103, Louisville, KY 40241. The listed phone number is (502) 412-2222.

What is Glenn Rudolph's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Glenn Rudolph enrolled in Medicare?

Yes. Glenn Rudolph is registered in the Medicare PECOS enrollment system.

What insurance does Glenn Rudolph accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and BEST Life and 14 other insurers list Glenn Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn Rudolph was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.