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KRISTIN THORNBURG DMD
NPI 1053973123
Dentist - Endodontics in Louisville, KY

Active since June 28, 2019PECOS Enrolled
11509 SHELBYVILLE RD STE A, LOUISVILLE, KY 40243(502) 254-3002 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Thornburg Dmd NPPES

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

KRISTIN THORNBURG DMD (NPI 1053973123) is an individual endodontics provider in Louisville, Kentucky, licensed in Kentucky (10455) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053973123
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameKRISTIN THORNBURGCredential: DMD
Location Address11509 SHELBYVILLE RD STE ALouisville, KY 40243-1372
Mailing Address827 Franklin StLouisville, KY 40206-1611
Phone(502) 254-3002
Sole ProprietorNo
Enumeration DateJune 28, 2019
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1053973123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in KY · 10455
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
11509 SHELBYVILLE RD STE A, Louisville, KY 40243
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Thornburg Dmd 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 40243 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.

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 Kristin Thornburg's NPI number?

The NPI number for Kristin Thornburg is 1053973123. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Kristin Thornburg located?

Kristin Thornburg practices at 11509 Shelbyville Rd Ste A, Louisville, KY 40243. The listed phone number is (502) 254-3002.

What is Kristin Thornburg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kristin Thornburg enrolled in Medicare?

Yes. Kristin Thornburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Thornburg was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.