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ANTHONY DISTLER DMD
NPI 1407210289
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since April 07, 2016PECOS Enrolled
2221 MEADOW DR, LOUISVILLE, KY 40218(502) 523-2433 Get Directions Write a Review

NPPES record last updated: June 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthony Distler Dmd NPPES

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

ANTHONY DISTLER DMD (NPI 1407210289) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407210289
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTHONY DISTLERCredential: DMD
Location Address2221 MEADOW DRLouisville, KY 40218-1330
Mailing Address7907 Stonydale LnLouisville, KY 40220-5037
Phone(502) 523-2433
Sole ProprietorYes
Enumeration DateApril 7, 2016
Last NPPES UpdateJune 29, 2017
✔ NPI 1407210289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDentistTaxonomy 122300000X · License 9803 (KY)
2221 MEADOW DR, Louisville, KY 40218
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Anthony Distler 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.

Other Providers at the Same Location NPPES

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

DISTLER FAMILY DENTISTRY PLLC
Clinic/Center
2221 MEADOW DR
LOUISVILLE, KY 40218
Jefferson County (502) 458-7744

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 Anthony Distler's NPI number?

The NPI number for Anthony Distler is 1407210289. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Anthony Distler located?

Anthony Distler practices at 2221 Meadow Dr, Louisville, KY 40218. The listed phone number is (502) 523-2433.

What is Anthony Distler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anthony Distler enrolled in Medicare?

Yes. Anthony Distler is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Distler accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Anthony Distler 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 Anthony Distler was last updated on June 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.