COMMUNITY CARE OF KENTUCKY INC.
NPI 1407260052
Dentist - General Practice in Louisville, KY

Active since June 11, 2014
3438 TAYLOR BLVD, LOUISVILLE, KY 40215(502) 366-4442(502) 366-4446 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Care Of Kentucky Inc. NPPES

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

COMMUNITY CARE OF KENTUCKY INC. (NPI 1407260052) is a healthcare organization registered as a general practice in Louisville, Kentucky and active in the NPI registry since June 2014. The organization lists Jenell Stump, Manager, Licensing & Credentailing, as its authorized official.

NPPES Registry Identity

NPI1407260052
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMMUNITY CARE OF KENTUCKY INC.
Location Address3438 TAYLOR BLVDLouisville, KY 40215-2648
Mailing AddressPo Box 2369Anniston, AL 36202-2369 · (256) 241-3965 · Fax (256) 241-1698
Fax(502) 366-4446
Organization SubpartNo
Authorized OfficialJenell StumpManager, Licensing & Credentailing · (629) 999-5006
Enumeration DateJune 11, 2014
Last NPPES UpdateMay 7, 2018
NPI 1407260052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3438 TAYLOR BLVD, Louisville, KY 40215

Other Identifiers 1

Medicaid7100298140KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Nurse Practitioner (Primary Care)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Pediatrics
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215

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 Community Care Of Kentucky Inc.'s NPI number?

The NPI number for Community Care Of Kentucky Inc. is 1407260052. It was assigned to this organization in the NPPES registry on June 11, 2014.

Where is Community Care Of Kentucky Inc. located?

Community Care Of Kentucky Inc. is located at 3438 Taylor Blvd, Louisville, KY 40215. The listed phone number is (502) 366-4442.

What is Community Care Of Kentucky Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Community Care Of Kentucky Inc. was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.