CIARA SANDEFUR DMD
NPI 1073305678
Dentist - General Practice in Louisville, KY

Q: What is Ciara Sandefur's NPI number?

The NPI number for Ciara Sandefur is 1073305678. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Q: What is Ciara Sandefur's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ciara Sandefur was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 20, 2025PECOS Enrolled

3015 WILSON AVE, LOUISVILLE, KY 40211(502) 774-4401 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ciara Sandefur Dmd NPPES

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

CIARA SANDEFUR DMD (NPI 1073305678) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (11339) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073305678

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameCIARA SANDEFURCredential: DMD

Location Address3015 WILSON AVELouisville, KY 40211-1969

Mailing Address5290 Deatsville RdCoxs Creek, KY 40013-8828 · (502) 492-2343

Phone(502) 774-4401

Sole ProprietorNo

Enumeration DateMay 20, 2025

NPPES CertifiedMay 20, 2025

✔ NPI 1073305678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 11339

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3015 WILSON AVE, Louisville, KY 40211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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)

Ciara Sandefur 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 40211 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 20

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

NIKEEA BULLOCK APRN

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