360CARE LLC
NPI 1417592536
Dentist in Louisville, KY

Q: What is 360care LLC's NPI number?

The NPI number for 360care LLC is 1417592536. It was assigned to this organization in the NPPES registry on November 12, 2019.

Q: What is 360care LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for 360care LLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 12, 2019

12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243(502) 244-2441(502) 996-8282 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2020, Jan 8, 2020, Nov 12, 2019 (3 updates tracked since 2019).

On this page

About 360care Llc NPPES

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

360CARE LLC (NPI 1417592536) is a healthcare organization registered as a dentist in Louisville, Kentucky and active in the NPI registry since November 2019. The organization lists Randy Ammon, Manager, as its authorized official.

NPPES Registry Identity

NPI1417592536

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business Name360CARE LLC

Location Address12910 SHELBYVILLE RD STE 300Louisville, KY 40243-2404

Mailing Address12910 Shelbyville Rd Ste 128Louisville, KY 40243-1536 · (502) 244-2441 · Fax (502) 996-8282

Phone(502) 244-2441

Fax(502) 996-8282

Organization SubpartNo

Authorized OfficialRandy AmmonManager · (502) 244-2440

Enumeration DateNovember 12, 2019

Last NPPES UpdateFebruary 5, 20203 updates tracked since enumeration

✔ NPI 1417592536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

Also ListedOptometristTaxonomy 152W00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedAudiologistTaxonomy 231H00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

12910 SHELBYVILLE RD STE 300, Louisville, KY 40243

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

360care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 26 clinicians reassign Medicare billing to 360care LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Optometry10

Qualified Audiologist9

Podiatry7

Nearest to this location (20)

See all 26

Virginia Chetverikov, O.D.

Optometry

NPI 1093745861

100 EAST WATER ST.
Prospect, OH 43342

(740) 494-2999

✔ PECOS✔ Accepts Medicare197 mi

Paul Keane, DPM

Podiatry

NPI 1194829838

267 W RIDGE DR
Bryson City, NC 28713

(828) 488-8200

✔ PECOS225 mi

Andrew Feltz, O.D.

Optometry

NPI 1225037393

740 COMMERCE DR
Perrysburg, OH 43551

(419) 874-0393

✔ PECOS✔ Accepts Medicare249 mi

Deborah Albaugh, M.A. CCC-A

Qualified Audiologist

NPI 1811053382

1598 SANDIFER BLVD STE D
Seneca, SC 29678

(864) 882-7968

✔ Accepts Medicare282 mi

Steve Cuddy

Qualified Audiologist

NPI 1346411527

304 10TH AVE NE
Hickory, NC 28601

(828) 322-2183

288 mi

Ian Barker

Podiatry

NPI 1629413604

11402 ANDERSON RD
Greenville, SC 29611

(864) 361-2799

✔ PECOS✔ Accepts Medicare292 mi

Stephen Guryan, MA

Qualified Audiologist

NPI 1508964131

3030 N HIGHWAY 81
Anderson, SC 29621

(864) 224-5450

✔ Accepts Medicare300 mi

Thomas Patrick, DPM

Podiatry

NPI 1992726319

184 OAKLAND AVE
Spartanburg, SC 29302

(864) 582-8570

✔ PECOS✔ Accepts Medicare302 mi

Aliya Matthews, DPM

Podiatry

NPI 1487819173

1204 BENTLEY ESTATES DR
Dacula, GA 30019

(609) 922-1866

✔ PECOS✔ Accepts Medicare309 mi

Karl Kleinau, O.D.

Optometry

NPI 1598760894

400 PARK ST
Belmont, NC 28012

(704) 295-3700

✔ PECOS323 mi

Heather Armstrong, AU.D.

Qualified Audiologist

NPI 1194909333

1015 SPRING ST
Greenwood, SC 29646

(864) 227-0444

337 mi

Gabriel Pitt, AU.D.

Qualified Audiologist

NPI 1659565935

1258 WASHINGTON RD
Thomson, GA 30824

(706) 703-9191

✔ Accepts Medicare368 mi

Jennifer Camp, O.D.

Optometry

NPI 1083604664

204 LANGFORD RD
Blythewood, SC 29016

(803) 714-1116

✔ PECOS✔ Accepts Medicare376 mi

Miranda Ross, AU.D.

Qualified Audiologist

NPI 1386830578

340 N BELAIR RD
Evans, GA 30809

(706) 868-5676

✔ Accepts Medicare376 mi

Chad Fox, AU.D.

Qualified Audiologist

NPI 1093739864

103 PROFESSIONAL AVE
West Columbia, SC 29169

(803) 926-2220

✔ Accepts Medicare382 mi

Dwayne Jacobus, D.P.M.

Podiatry

NPI 1295726172

3800 N MAIN ST STE B
Columbia, SC 29203

(803) 705-3172

✔ PECOS✔ Accepts Medicare383 mi

John Seymour, OD

Optometry

NPI 1841251741

414 W HIGH ST
Ebensburg, PA 15931

(814) 472-4240

✔ PECOS395 mi

Kelli Mccartney, O.D

Optometry

NPI 1811201692

2010 PAXVILLE HWY
Manning, SC 29102

(803) 408-5740

✔ PECOS431 mi

Renu Mathew, O.D.

Optometry

NPI 1831112911

18111 TOWN CENTER DR
Olney, MD 20832

(301) 570-1600

✔ PECOS✔ Accepts Medicare461 mi

Ashley Williams, DPM

Podiatry

NPI 1851725824

1012 PHYSICIANS DR
Charleston, SC 29414

(843) 571-0602

✔ PECOS✔ Accepts Medicare485 mi

See all 26 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 360care LLC's NPI number?

The NPI number for 360care LLC is 1417592536. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is 360care LLC located?

360care LLC is located at 12910 Shelbyville Rd Ste 300, Louisville, KY 40243. The listed phone number is (502) 244-2441.

What is 360care LLC's specialty?

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

Is 360care LLC enrolled in Medicare?

Yes. 360care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 360care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 3 Medicare specialties reassign their Medicare billing to 360care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (10), Qualified Audiologist (9) and Podiatry (7). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 360care LLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.