1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Dentist
  6. NPI Profile

KENTUCKY04
NPI 1851779888
Dentist - General Practice in Louisville, KY

Active since May 11, 2015
3438 TAYLOR BLVD, LOUISVILLE, KY 40215(502) 366-4442(502) 366-4446 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kentucky04 NPPES

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

KENTUCKY04 (NPI 1851779888) is a healthcare organization registered as a general practice in Louisville, Kentucky and active in the NPI registry since May 2015. The organization lists Mandy Holland, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1851779888
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
Phone(502) 366-4442
Fax(502) 366-4446
Organization SubpartYes
Authorized OfficialMandy HollandCredentialing Manager · (256) 504-3326
Enumeration DateMay 11, 2015
✔ NPI 1851779888 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
Open in Google Maps ↗

Other Names 1

Other NameKentucky04

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.

SHALESH KUMAR
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Jefferson County (502) 366-4442
ENM WELLNESS & MORE
Nurse Practitioner (Primary Care)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Jefferson County (502) 365-2340
VITALIA I KADYLAK DDS
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Jefferson County (502) 366-4442
COMMUNITY CARE OF KENTUCKY, INC
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Jefferson County (502) 366-4442
DR. KRISTIN JANELL HARRIS D.M.D.
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Jefferson County (502) 366-4442
COMMUNITY CARE OF KENTUCKY, INC.
Pediatrics
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Jefferson County (502) 366-4442
DR. MELANIE RENEE ABRAMS DMD
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Jefferson County (502) 366-4442
COMMUNITY CARE OF KENTUCKY INC.
Dentist (General Practice)
3438 TAYLOR BLVD
LOUISVILLE, KY 40215
Jefferson County (502) 366-4442

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 1851779888. It was assigned to this organization in the NPPES registry on May 11, 2015. The provider is also known as Kentucky04.

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 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.